2597/a s—
t�l STREET �., LOT NO.
N Q
y o PP,Tj�j kFOR ELECTRICAL PERMIT
0 - ® ���`"'''��'' Mkl SOF CUPERTINO
Q J
5"
=FEB 20 1964
o
Date r(�fTTYY ���� pp ((����(( jj�� , 195— Permit No.
a AppTitatidn is"ttereb�'19d�Tb`the`,Qry of Cupertino for a permit tFee �tall electrical
w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
r�
j a wiring and/or fixtures in accordan<e with the provisions of the Electrical Code of the
o O
> N City of Cupertino, and all other laws a'cable theret��
z J Use of P—;-
0 emise
.
3 a Ow Address
N
w w By 4—Q Address
a CONTRACTOR, AGENT
a o Approve
— U hone:r� ELECMCAL IN51EC101
/<Siate License: . —
NEW RPL FEES
Size Service Conduit ......................Number of Outlets_.____._.L...___ ....
Size Service Wires .........................Number of Switches.......
Size Service Switch........................Number of Receptacles ............ I_ -..
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 ----------------
_
y4/ot/o�)s------------ -- - .......----.... hale ----------------- H P Charge------------- -------
�� fTOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring ................ __--------------------- Fixtures ----- -----_........ ----------------------
DATE INSPECTOR DATE SPECTOR
Finish Wiring ------------ �-------- --------------- Motors ------- ._ ---.. ..
DATE INSRWTOR /J�Dy[ INSPECTOR
Final c/t--.">v'..-- --- ----e'er--^-'---'-
DAT
INSPECTOR