1505 (2) NO. STREET LOT NO.
A , OR ELECTRICAL PERMIT
® q (L
� OF CUPERTINO
JUL 17 1962
Datc , 195— Permit No.
TT���� ((��[� FR 1 Fee a 7–D '
AFli¢atlori4Afhererb' a'GAt eOCity of Cupertino fora permit to install electrical
wiring,and/or Alxtdres, .s i;t h the revirs side hereof, and agrees to install said
wiring.,and/ori i`or co�f`c'ordi with h�rovisions of the Electrical Code of the
City-of Cupe no, all oth .Is(aicable"thereto.
v Use of Premice_a 1 "'J]o z
c
a Owner 0Q,C Address
v
y/By r Address
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� OS�1 'kACTOA,rAGEifCRApproved
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Phone: �i90� W. s an CRtIOs est, `-..� E�.HCTRIUL INSPEerw
(San oser Calif
NEW RPL FEES
Size SerVice Conduit......................Number qf.,OiItleti......—;....... . ........ . .... ...........
Size Service Wires........ ..........:...:.Number of Switches.... ----------- ---------- ---i...... ------ ----
Size Service Switch........................Number of Receptacles------------ ---------- ---- ----- --------------
Size Sub Feed Conduit..................Number of Fixtures.................. .J.7.. .......... ..
Size Sub Feed Wires--------------------Ranges................ KW---. ..... .......... ...........
7,
Number of,Circuits.................... Oven ........*----- KW--------------
--------- ---------- --------
Number of Meters........................Signs.......... Transformers..--.--- -- --------------
Misc*------- --------------------------- .......... .......... ...........
...... ....................:------------Dryers.....--------
Motors-------1 .......*... HP..................... Phase---------------------
Motors.........-------- HP......_............ Phase-.--------------- Permit Fee $1.00
Motors...... ------------- HP........... -------- Phase-------------------- H P Charge....------'— --------------
TOTAL FEES------L112-0
RECORD'OF INSPECTION APPROVALS
Rough Wiring.,.........::o..
--------------------- Fixtures ---------------------- ---------------- --------
DATE INSPECTOR Motors ... DATE INSPECTOR
FinishWiring ............-zj....................... --- --- -----
AT
PATE IKSPEC.YOR
nal
DATE INSPECTOR
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