2712 22394 Riverside Dr.
'o G ;ra rr nor No. 82'
" d Plan 300
IC TIO R ELECTRICAL PERMIT
r ° ®� 7 1 b4
o CtT OF CUPERTINO
5 U r / 1�01/I 2'
° Dat CITY ��"MPOft" ^ 195— Permit No. c?,01
Fee S16P.J'5
<W Application is hereby made to the City of Cupertino for a permit to install electrical
w z wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordame with the provisions of the Electrical Code of the
> m City of Cupertino, and all other lass applicable thereto.
04
J Use of Premises residence
J L
JO Dee Cliffe Dev. Co. 510 So. Math iIda Ave. ,
3 < Owner p Address
w i H. G. WAND=RER Sunnyvale
a By _ Address
Q o SU NNYEiH�a, `r�LrI�IA Approved
–U Phone: PHONE -133-3421 ELECTRICAL INSPEaort
State License; 12422
v�
NEW RPL FEES
Size Service Conduit......2..............Number of Outlets.................. ... . ... .... . .......
:'/1 e�CI...- .A_o
Size Service Switch..
Size Service Wires....... -----------------NurrIber of Switches................
-.._.... ./G..
��iq_......Number of Receptacles............ _`44 ---------- . ............
Size Sub Feed Conduit/..r..." "
t ---Number of Fixtures------------------ ?..j---- -------- - -
SizeSub Feed _.....f....... KW-------------- _._.1.. .......... ------
Number of Circuits.-----. ...... Oven .....1........ KW.... ..._ .....I. ... ...... ........
Dd
Number of Meters......../...............Signs.......... Transformers........ ---- ---------- --/.
Misc ---- ---- ---*--- --- ---- Dryers - ------- I---
Motors..... .------ -- HP ----- Phase Permit Fee $1.00
Motors------ ------------- HP-------------------- Phase--- -------------_
........ Phase.
Motors------------------- HP.._--------... ................... H P Charge....._.-------
TOTAL I—EES _4 t7,Z_
RECORD OF INSPECTION APPROVALS
Rough Wiring------------_- --------------------------- Fixtures --------- -- --- ----- IN-SPECT-0-R--- ---
GATE INSPECTOR DATE
FinishWiring ----------_---- --------------------- Motors ------------- I--------- -----------------* -------
DATE INSPECTOR Final
LL: I------- ..--I-'-- ..........
DATE INSPECTOR