1295 t a7 D3I 2m _ -a
NO. EET�` LOT N
�' ELECTRICL O..PERMIT
JAN 2 1962E
(Cl�l
-_- cry-I - -
CUPERTINO
/e9
Date /A95— Permit No.
CITY OF V
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 aIII her laws applicable thereto.
v Use of Premi
c
' a Owner Address
v
By Address
CONTRACTOR, AGENT
I'i G �T}L2-o332 APProv
' aoncELECTRIUL i E
NF
W RPL FAS
Size Service Conduit----------------------Number of Outlets.................. ..6.... .......:.. ... ...Q-
Size Service Wires.........................Number of Switches................ ... ------....i..../7J'0..
Size Service Switch........................Number of Receptacles------------ ...... ... .......... ....:`,Q..
Size Sub Feed Conduit------------------Number of Fixtures-.---------------- -- ---- ---------- --. XO..
Size Sub Feed Wires.................... anges................ KW-------------- -------- --------- -------------
Number of Circuits..........�7.Q(j..... Oven .............. KW-------------- ---------- ---------- _........----
Number o Meters........................Signs.......... Transformers........ .......... .......... ..............
Misc............... ------------------Dryers---------------------------------------- ---------- ---------- ------------
Motors .----------------- HP------------....... Phase-------------..---- Permit Fee $1.00
Motors':..........._...... HP.................... Phase..........._._....
Motors------------------- HP-------------------- Phase...............---- H P Charge---------------- Z-- -
TOTAL FEES —
7, ) NSPECTION APPROVALS
Rough Wiring rv.3`- .. .................... Fixtures ........------- -----�----------------------
OA [ INSPECTOR OATS IMSYECTOR
Finish Wiring ....._......... ..--................ Motors
DATE INSPECTOR / QRj� -- -•
Final iY . .....�.. . . .........
ATL INSPECTOR
I, 'the undersigned do hereby certify that I dm'
the owner and opp a t of th si gle faril5> 6,--tilling at
ich I are making
application to d-, k a.s a acme cwner,
I a s certif-
y that :- :11 r. v. c ennoi:._.i;.c
tor , but will do thi3 -rork myself,
/` TELEI HONE 1vP`BER S1Cji T� I