2633LOT NO.
VACL
OR ELECTRICAL PERMIT
.^AR 19 1 64 OP CUPERTINO
Date - - 1� Permit No. �0�3
CITY ��.vl; Fee 5
Application is hereby made to the City of Cupertino for a permit to install lectrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accord <e with the provisions of the Electrical Code of the
City of Cupertino, and all otl r lanes applicable the:et9.
Use of Premises
By / _ Address 49
'L CON _ACTOR, AGE
Approved
Phone �--t� ELECTRICAL INSPECTOR
State License:
/in
Size Service Conduit.------
LIM ------Number of Outlets .............
Size Service Wires ...........
J Number of Switches...........
witches-----------
Size Service Switch .......
Size
/tb/—Number of Receptacles.......
Size Sub Feed Conduit
------------------ Number of Fixtures -------------
Size Sub Feed Wires -------------------Ranges.......
. / ....... KW....._..
W -----
Number of Circuits.......
Number
....... Oven -./-. ..... KW_...__
Number of Meters .......
/ ..............Signs.......... Transformers
Misc ...... --------
Motors ............
-------- Dryers ----- ----------
Phase
Motors ...... ---------- HP
------------------
NEW RPL FEES
Motors ................ --- HIS .................... Phase -------------------- H P Charge
TOTAL FEES X� 11
Rough - ^----------- Fixtures --- --- ---- ----
O X INSPECTOR ...
................ I ......... ...... --- ?mot iz-
Finish Wiring ----- ors .... .... ..............
DATE INSPECTOR SPECTOR
Final -------------- .........
INSPECTOR