582 l O Co O0-6
NO. _'.� , � Lor NO.
ELECTRICAL PERMIT
9JAN 21 1961T
CUPERTINO
Date }, Permit No.
e / f C (J Fee 5
Application is'hereby made to the City of Cupertino for 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 ti
Use of Premi t/t mrC -P
,�, 2
Owner 9—, /4y f Address ip
By Address
CONTRACTOR, AGENT "
4I Z �QV Approve
Phone:
ELECTRICAL rN8lHQ'0X
,i
NEW RPC FEES
Size Service Conduit.. / 4A.. ...-._Number of Outlets-_..._.....__. ._...._- -----
Size - ----
Size Service Wires. -------Number of Switches - -- ------ ------ -- ----------_--
Size Service Swit,4AP- c.....Number of Receptacles......---- ------- ---------- ------------
Size Sub Feed Conduit------------------ 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
RoughWiring -------------------------- Fixtures ---------------- - - ----------------------
Olre INSPECTOR... DATE INSPECTOR
Finish Wiring :.._:PA --------------------: Motors ............ ................
" 'OAT[.. INSPECTOR [ ~ Ylyr�CtO_t
Final 00 Z?�_..dc-/ :
OAT[ IN1TeCTOR