2652NO. _ _�&STRE
p ES}}�� ��
. R ELECTRICAL PERMIT
MAR 19 1964 CF CUPERTINO
Dates , 194:41 Permit No.
Fee S /�
Application is hereby made to the City of Cupertino for a permit o �-nstall 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.
u Use of Premi
c
a
Ow ne Address
ro By Address
CONTRACTOR, AGENT
Approved - M-e�
Phone: 449 ELECTRICAL INSTECTM
N
Size Service Conduit......................Number of Outlets ...-------._..
Size Service Wires .............._ -.........Number of Switches ---------- -.
Size Service Switch ------------------------ Number of
Size Sub Feed Conduit ------------------ Number of Fixtures----
Size
ixtures.._Size Sub Feed Wires ---- ---------------- Ranges ------- ...... KW
Number of Circuits------------------- Oven ------ I----- KW
NEW RPL FEES
Number of Meters ........... .------------ Signs ---------- Transformers...........
Misc-------- -------------------------Dryers ---------- �----_------------------- ---/--- ---------- -----1...
Motors ------' ------ HP ------ - ........... Phase ------------------
Motors .................... HP -------------------- Phase Permit Fee $1.00
Motors .................... HP -------------------- Phase .----------------- H P Charge ---------------I-----� (�
TOTAL FEES
Rough Wiring
Finish Wiring
RECORD OF INSPECTION APPROVALS
------ I............................ Fixtures --------- -----
DATEI-- -----INSPECTOR
----------- ----- -----
DATE INSPECTOR
D TE
�.......
IMSR[CTOR
/ Er[c- TDR
INSPECTOR
I
9d
........I
..
.... --
�D
------ ----
�9-
----------
--1--/9D
/�
.%......................
Number of Meters ........... .------------ Signs ---------- Transformers...........
Misc-------- -------------------------Dryers ---------- �----_------------------- ---/--- ---------- -----1...
Motors ------' ------ HP ------ - ........... Phase ------------------
Motors .................... HP -------------------- Phase Permit Fee $1.00
Motors .................... HP -------------------- Phase .----------------- H P Charge ---------------I-----� (�
TOTAL FEES
Rough Wiring
Finish Wiring
RECORD OF INSPECTION APPROVALS
------ I............................ Fixtures --------- -----
DATEI-- -----INSPECTOR
----------- ----- -----
DATE INSPECTOR
D TE
�.......
IMSR[CTOR
/ Er[c- TDR
INSPECTOR