2584NO.
LOT NO. D �.
V ELECTRICAL PERMIT
CI CUPL•RTICdO
JAN 31 7964
Date - 2 , iLL Permit No.62 57�p
TY OF CUPERTI 11ri Fee S/ 75—
Application is hereby made to the 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
Owner
By -
SCONTRACTOR, AGENT
Phone: �✓ r� �O��.S �
State License
Address /ey34R �oo-
Address
A pprove
ELECTRICAL @R►ECrOR
�3. NEW RPL FEES
Size Service Conduit._...................Number
of
Outlets _................
Size Service Wires..........................Number
of
Switches................
Size Service Switch........................Number
of
Receptacles............
Size Sub Feed Conduit ------------------
Number of
Fixtures ..................
Size Sub Feed Wires ....................
Ranges
KW ..............
Number of Circuits -------------------
Oven ----- ........
KW ..............
Number of Meters
Sig ns
Transformers
........................ ......
Misc------------------------------------------------ Dryers_ ------ ----------------- ---
--..--- I---------- (--------- -----
Motors ----------------- HP .................... Phase ----------------
Motors ------_---.--.-- HP ----------------__ Phase ------------..... Permit Fee $1.00
Motors ------------- HP ------------------ Phase ----------------- H P Charge ---------------- I ---------
...--
TOTAL FEES
Rough Wiring -- -------- - --
DAT
Finish Wiring ----------------
DATE
V OF INSPECTION APPROVALS
-- Fixtures---------------
17KETOR .ATE
................ Motors .......... ......-..
IXSI[CTOX DAT[
; Final .....................
DAT[
-----------.._..--
INSPECTOR
--------------------
INSPECTOR
------.............
INSPECTOR