2710 22414 _alverside Dr_ _ 80
m a no. srsr or No. plan 300
OR ELIC
r o ® APPLICe4TIO ' ECTRAL PERMIT
LL
OJ APR 2 7 1964 ; of CUPERTINO
a _
° DaVTy OF (TIIDCD'r' '
�
mT�, 795— I ermit No.
° a Fee S
a
N Application is hereby made to the City of Cupertino for a permit to install electrical
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awiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
J .. wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
'> m City of Cupertino, and all other laws applicable thereto.
r3
z J Use of Premises residence
J 0
3 a Owner Deep CI iffe Dev. Co. Address 510 So. Math Ida Ave. .
w0 Sunnyvale
W By M. � vv fi ��r:= — Address
G o O2'.�i°K IFER",.AGENT A roved .-
—0 Pho.cSUNNYVALE. CALIFORNIA PP ELECTRICAL WSPECM
PHONE 733-SCSI
State License, 12422
NEW RPL FEES
NI
Size Service Conduit..._;..............Number of Outlets.................. .�.... ... ..
Size Service Wires..... .�_...........Number of Switches......_........ ......... _....... ..............
Size Service Switch. :......._Number of Receptacles............ y`...
ry !J
Size Sub Feed Conduit....r.V4L./1.Number of Fixtures . .?i�.--- .......... .....-2.• .
Size Sub Feed Wires..l'�.#.�D.Ranges..........I--- KW......_...... ....I--- --------- -----,2Y
Number of Circuits....... `f..... Oven ......./----- KW.............. .. .... ........ .JS
Number of Meters------- ...............Signs.......... Transformers........ .......... . f-�U
Misc------ ............. ........ . ........Dryers....I----.....__..---- ---._..... ...�--- ------- -------7S
Motors.....! ---..._._ HP.�I' .....-._.. Phase.................... Permit Fee $1.00
Motors.................... HP.-------------- . Phase....................
Motors_.....-------.... HP..............--.. Phase------------------- H P Charge.---............�..
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring......0-A.... Fixtures ........_............ ......
TL INSOR OAT[ INSPECTOR
Finish Wiring
....._...----..I------------PE---_CT...... Motors -- -..A'
-------------------
DATE INSPECTOR 'T l/,1� D ! INSP[CTOR
' Final .1 .---- ...- --.....I. ��
DAT[ J INSPECTOR