1009 �n NO.. I �0 ZZ'
STREET =5a---�iJ LOT NO.
ELECTRICAL PERMIT
I CUPERTINO
MAR 2 8 1961
Date_
' 195— Permit No. Z10 0
ATX Q� y'�PePIe � ere s /,
Appl i is reb e t e � y 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.
✓ ✓
v Use of Premi GG4il9
c
a Owne Address '✓ rF
y
BY. _ _ Address
"CONTRACTOR, A £NT
_v fes -Approve
done•' S7 a&k CAL rN5►ECTO[
NEW RPL FEES
Size Service Conduit----------------------Number of Outlets................... .......... ..........I..............
Size Service Wires--------------------------Number of Switches-.-------------- -.-I---- ----------
Size Service Switch------------------------Number of Receptacles------------ ---------- ---------- --------------
Size Sub Feed Conduit------------------Number of Fixtures.----.-------.---- ---------- ---------- --.---------.
Size Sub Feed Wires----................Ranges---------------- KW------------
--- ------- --------- --------------_
Number of Circuits----------.----- Oven -----:—...-. KW------------- --------- --------- -------------
Number of Meters........................Signs....:..... Transformers........ .......... .......... ...............
Misc--------------------------------- ---Dryers._------------------------------- --------- -------- -------------.
Motors--- ---/......... HP ��----- -- Phase...._..---------
Motors.................... HP.---------------:- Phase.........---------- Permit Fee $1.00
Motors.................... HP---------------- Phase-------------------- H P Charge------------ /-1-7
TOTALFEES
RECORD OF INSPECTION APPROVALS
RoughWiring-..--................ ---------------------------- Fixtures ....:................. --------i-------------------
.Are INSPECTOR DATE INSPECTOR
Finish Wiring ..----'-....... --------------------- t
otors -------- ...... �------ ---
DATE INSPECTOR �j AT oa ,
nal ,l/.l.�f
DATE INSPECTOR-'••.-