1444 ) OfoOI
NO. STREET LOT NO.
FOR ELECTRICAL PERMIT
E CUPERTINO "
JUN 12 1962 � ,-
Date , 195— Permit No.
(� Fee $ 6�
A tbn 0IF..WE[p�'(�I hNQity 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. r
Use of Premi �.bMMQt2Ct'a IdGj=L�t
6
ri ��rr�� q
wnerrYGC--NE'QJAV122A Address � Z) ' S. (W^0
1
Py Address X
diaa GONTRI OR, AGENT � �
%P,APproved
Phone: lY'1 ��� 1 O O y,., • ELECr31UL 1NS►8CTD1
NEW RPL FEES
Size Service Conduit......................Number of Outlets.................. Z---- --------_ �..3-o
Size Service Wires.----.---------------eNumber of Switches---------------- -.-..... ---------- ------------
Size Service Switch.......................Number of Receptacles............ .......... .......... .,-.....C.
Size Sub Feed Conduit..................Number of Fixtures.................. . .... ......--- --..----..---
Size Sub Feed Wires--------------------Ranges---------------- KW------------- --------- ------ --- ----------
Number of Circuits....------------- Oven ........... KW----------- -- -------- -------- -------------
Number of Meters------------------------Signs--------- Transformers.......- --------- --------- ------------
Misc................................................Dryers---------------------------------------- --------- --------- -------------
Motors.................... HP.................... Phase-------------------- Permit Fee $1.00
Motors.................... HP------------------.. Phase.......-------...
Motors.................... HP.................... Phase.................... H P Charge--------------- - ---
TOTAL FEES
RECORD OF INSPECTION APPROVALS
i
Rough WiringT..-. - Fixtures ------------------- - --
r Tt INSPICTDII oATt IIISrtoTon
Finish Wiring ....:...........�...... - . otocs - -- .--'
11''• > t DAn ---
INSPECTOR
t ---I-.. o�
,.. A . 1
Finan .
1 A y DAT INI�[CTOt