242810
NO. STREET LOT IfO.• �O�
OR ELECTRICAL PERMIT-
OF CUPERTINO
11, OCT 2� 1963 b
Date , 1 qr� = Permit No. 622
dCITY OF CUMT Fee 3.0
Application is hereby City of Cupertino for a permit to install electrical
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
City of Cupertino, and all other laws applicable thereto.
Use of Premises L?"
gy��•�-�.E.� ��a_.e
CVTRACTOR,4�
Phone:
5`2- 3 Y 1141,
�ddress
"e Address
1
Approved NL
ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service C'�onduit--------- _------------ Number of Outlets. ----------------- -- __ i__. -.__-----_-
Size Service Wires ------------------------- Number of Switches_ ------------- _. _ ........ --------------
Size Service Switch ------------------------Number of Receptacles----_-.._. .......... ---- --------------
Size Sub Feed Conduit ------------------ Number of Fixtures.-_- -- -
__--_-_-----------
Size Sub Feed Wires --- --•------------Ranges................ K •-----/.... ..•----------- ------------------------
Number of Circuits------------------- Oven ------•--•---- KW -------------- --------------
--------- ---
Number of Meters ........................ Signs ---------- Transformers.....___ ------
Misc------------------------------------------------- Dryers --------•--•------------------•---•-------------------------------------
Motors .................... HP -------------------- Phase .................... Permit Fee $1.00
Motors--------••---------- HP ---------------••--- Phase ....... ------------
Motorase-------------------- H P Charge ----------------
--------------
./i2. C TOTAL FEES i
RECORD OF INSPECTION APPROVALS
RoughWiring ------•----•--•- --------•------------------- Fixtures -----------------••--- ------- ----
DATE INSPECTOR DATE INSPECTOR
Finish Wiring---•---------------------------••-_-----Motors---------------------- ------
DATE INSPECTOR DATA / you 14'R
'f
DATE INSPECTOR