1359 CP% IoII (2 .
NO. STREET ♦ LOT NO.
APU CTRICAL PERMIT
CITY OF' E111NO
MAR 12 1962
Date 195 L �_ Permit No. Z 3�
CITY OF CUPERTINO Fee $
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring,and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code-of the
City of Cupertino, and all other laws applicable thereto.
J
Use of Premi,P�
C
;a Owner ' Address `F3n l-�M,!'✓r1r4K (,�
By a /r Address �D
CONTRACTOR, AGENT J, Approved -�
Phone: z 2 —76 / ELECTRICAL INSPECroa
NEW-
RPL 'FEES
T
Size-Servic Conduit----- ...._.__NumbeE..o,f' Outlets. ..... ...._---- -- 2—c'
Size Service Wires-------- _....::;Number, of Switch ..: ........... ./ --- ---------- ..........
Size Service Switch._.��.-A--------N, ------------ ---3.= . ......I-- --------------
Size Sub Feed Conduit------------------Number of Fixtures--------------- -- --- - ------ ........
A
Size Sub Feed Wires--........I.........Ranges:::-----------:- •KW------s------- ------I--- ---------- 75-------
. I - — --- —
Number of Circuits--------- --------- Oven .............� KW-------------- - I-- ----------- -7---S-
Number
7----.5-Number of Meters..............._.......Signs.........: Transformers........
Misc....... ----------Dryers..................... .....
Motors------------------ HP-------------------- Phase........*------------ Permit Fee $1.00
Motors.................... HP.................... Phase--------:-----------
Motors-------------------- HP-------------------- Phase.................... H P Charge.............I.-
.. ........o
....
TOTA 13'
RECORD OF INSPECTION APPROVALS,-
Rough Wiring.........--"".:I---------------------------- ' Fixtures ----:............... -------------:.... .........
DATE INSPECTOR DATE INSPECTOR
-----------------------
Finish Wiring...... Motors ..... .....:^:.-:...:. . '
PAT' INSPECTOR DATE .INSP9CTO-R
Final ....:.::...:------- .......................
DATE INSPECTOR
NNNN