51167 (3)11o91 Bubb Road
NO. STREET LOT No, Lot 3, Plan 1121
APPLICATION FOR ELECTRICAL PERMIT
Rol
OF CUPERTINO
Date 194$ Permit No.
J
Fee h ,2
A$�lTication is hereby made to the City, of Cupertino for a permit to install electrical
wiri91 npatv/o0{-xtr�JPERT4P*he 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
Ditz-Crane
By
+
ao:: •.
CONTRACT R,- AGENT ' I
Phone:
State License -
Address Santa Clara, Ca.
Address
Approved -._ ..._. ....
-
ELECTRICAL INSFELTM
v
NETE, EEL FEES
k
Size Service Conduit.._ _.----------- Number of Outlets.
- - .. .... ----
.
Size Service Wires ------- _. ....... Number of Switches ................ . .....................3+J
-24
Size Service Switch ----- [V'i. _...Number of Receptacles ...........: . / %.
:..._.: ---------------
3 I
Size Sub Feed Conduit_ �T.... Number of Fixtures.._..........._ �'----------------- ......---
Size Sub Feed Wires4--;�LDAan es.......
Number of Circuits..---- - �*P-----
Oven .... I--------
KW -------- _-----..---.--
..........
--?-.-.----
Number of eters...... �---------_....Signs..._.....
Transformers_..._. _..._ ...........................
Misc........... --- - --- ---_.,.I_
Dryers ._--.�-...---........_
.............. ...-_._
...........-.
:..—
Motors..........- .---- HP.... -zL_----
Motors ---------------- HP ----------------
. Phase----------------
Phase ....................
Permit
Fee
OI{ZO
Motors ................ HP --------------------
Phase ...........
--------- H P Charge..-.......
-
. .
TOTAL FEES
RECORD
OF INSPECTION APPROVALS
Rough Wiring ------------- I -------------------------
Fixtures ----- -------------- --
----- ---- ----- .----
DAT- IM
SI C II
CTO DATE
INSPECTOR
Finish Wiring................ ..........._....
......
Motors ------
DATE INSPECTOR
pAT[
INSPECTOR
Final ...... .................... �-
----
FATE
INSPECTOR