2246 d 0K00 I arc A ue-1 . qq
NO. STREET LOT NO. ........ .d_..-.._............
-``APPLICATION FOR ELECTRICAL PERMIT
} •j CITY, OP
Date ... -- ... /9. 196. C�r�
.IJL 26 X903
\ _ 3. Permit No.
a
1-ee S ,y 6s
a Application is hereby made to the City of Santa Clara for a permit to install electrical
Q� 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
e�
c City of Salta Clara, and all other laws applicable thereto.
m
_u
Use of Premises ..._.---.... ... SL.ry` ^. _ �/� ----------------------------------------------------------
Owner ____ __ __ _____ ___ _ ____ _ ______ ________Owner - -__- .... Address
By -1411).-.-_E�r2-C�es<:�CS7 Address U
-
CONTRACTOR, AGENT -
n APProved --- ----
6— - - - ---- -- - '
y/ ala R' V. o�7/0 EGTA CAL INSPECTOR
NEW RPL FEES
...
Size Service Conduit......................Number of Outlets..........._..... /. .......... ......da./0
Size Service Wires-------------------------Number of Switches---------------- -I_V. ...
- ---------- --
r2 -
Size Service Switch........................Number. of Receptacles.......... .......... .....
Size Sub Feed Conduit------------------Number of Fixtures.................. . ---------. ...2. ...
.
Size Sub Feed Wires....................Ranges....._./._..
.. KW.............. ......./. .......... .........
75-
Number of Circuits................... Oven ....../..... KW--------- ---- ----- - --------- ---
Number of Meters...._..................Signs.......... Transformers------.. ._....--- ---------- --------------
/ 25—
Misc---------------------------------------- Dryers....../---------- --- ------------- ------
Motors....... HP......�Vj- ----- Phase-------
Do
Motors--------IV--------- Permit Fee $1.00
------------ HP.. ......... Phase--------------------
Motors------------------- HP-------------------- Phase------------- ...... H P Charge................
TOTAL FEES------------
�EGO --OF INSPECTION APP OVALS
_C?_ ----- Fixtures -- ------------------I---------------- ----- -----
Rough WiringI.Q.7.. . ...1 .
DATE INSPECTOR otors .........D INSPECTOR" ,--------
Yinish Wiring .... .......—,..............
OATE INSPECTOR Z. ,E,I T.R
'fFmal ---- --- -`---- ------------ ---
DATE INSPECTOR