2247 206/rs �- 4 �q . - II
NO. STREET LOT NO. ------(91-------------------------
�APPL'ICA`TION FOR ELECTRICAL PERMIT
S ' �C1TY "d>'LNZ� lfl i SC3
Date--...� JUL 26 QvJ3 (� illi
l
-�� - ---
�/./....., 1[9��t.3 Permit No. � .
`r •moi 1��.l)ER { " Fee S Q�
�( Application is hereby made to the City of Santa Clara for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
I� wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
V
City of Santa Clara, and all other laws applicable thereto.
U `
K
Use of Premises .............. 5.L O1Q1 n CfL.....-- ......... .. ......------------------------
I u
Owner ,..-- - --.... . `tN.2- Address ---Q.bp----S.S..!-f✓Y 1tl.Y.N1 C .
By ----H-1J 1,---- -��LJc �G Address L�
CONTRACTOR, AGENT
Approved ..
a o o:ev. E 6_07//D ELECTRICAL INSPECTOR
NEW. RPL FEES
to
Size Service Conduit......................Number of Outlets------------------ --- . .......... ....L
Size Service Wires..........................Number of Switches...._.....__... _. .
Size Service Switch........................Number of Receptacles............ ..' . .......... .... ........
Size Sub Feed Conduit..................Number of Fixtures.................. ...
9°
Size Sub Feed Wires...................Ranges--------,1..--- KW-------------- ....,1 . _
.. ...... .......7s
Number of Circuits__................ Oven .../...... KW....-------- ---,r/...- ---------- .-.-.7-5_
Number of Meters........................Signs.......... Transformers........ .......... .......... ...._ �
Misc.-------. / __
... ------...............Dryers.----. .. . .. -------- --------
-- -----� -----
Motors-------- -- HP.................... Phase---------------...._
Motors._...---------_---- HP------------------- Phase------------------- Permit Fee 1.00
Motors.................... HP........... -------- Phase........--------... HP Charge--------...... .......75'
TOTAL FEES
�a
ffs0 OF INSPECTION APP ALS
Rough Wiring ' `•' Fixtures
....-'------ ---`............. ..... ....--------' --......INSPECTOR .....
DATE � INSPECTOR OATF INSP[CTOR
Finish Wiring ............... _ .... oto\/rs .................
...l......_...o...v�----
GATE INSPECTOR
x9
PE5 O
............
OATE ��CT.RR........
....