1445 NO. STREET „LOT NO.
PTtQN, FOR ELECTRICAL PERMIT
® Iff"' II r,, CUPERTINO�
JUN 12 1962 , 1.�t(.�
Date f95— Permit No.
11C
ApprA/p���TT��// .�
TX i�GFrebCUPERTq 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,accoidance.with�the provisions of the Electrical Code.of the,, p: . .
City of Cupertino, and all other laws applicable thereto.
u Use of Premi a
C:
weer Ztl /f b:2,a l7 ' Address
E - a .s .("V- -f_•__.R1-„ Address
CONTRACTOR, AGENT e
' Approved
Phone: LECTRICAL [QSEEC7b1 -
NEW RPL FEES
Size Service ConIJuit./.?-'�-...........Number of-Outlet.9------------------- J-7
Size Service Wires..-.............Number' of Switches--------_------ -A2--- ---------- ----
Size Service Switch... .....Numiber,of Receptacles:..::::.
--- -- -- ----- -
Size Sub Feed Conduit-................Number of Fixtures.................. .......... .......... ...............
Size Sub Feed Wires----..... .Ranges................ KW....--------- --------- --2------- -------------
Number of Circuits- .............: Oven .............. KW...... .....
-------- ---------- r------------
of Meters_..... .................Signs.......... Transformers--.._.- ---------- ---------- --------------
Misc-------------------------------------------------Dryers.................................. ------ ---------- ---------- ---------
Motors._.-:../.........: HP-----el--)�—------ Phase..........---.-=-
*-****"I'--- --- - , Permit Fee ,$1.00
Motors.................... HP--------------------
Phase---.........-:-----
Motors
.........-:------
Motors.................... HP-------------------- Phase.................... H P Charge---------------- ----- -
TOTAL FEES
SPECTION. APPROVALS
------- ----------------------- --
Rough Wiringw// gce�. j . ........... Fixtures
....:----------
DATE ...... 'DATE INSPECTOR
Finish Wirin .......... ..................... Motors
9
DATE
INSPECTOR
Final
MTK .....T .....