324r�P1! �ii:iY3�
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PLICA OPt 'FOR ELECTRICAL PERMIT
1 J-
CI F CUPERTINO
26 1959
Date , 195— Permit No. v ��
CITY QF CUPERTIIq pee dd
AppheaY is ereby made to he 1 y 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.
u Use of Pre
OM
�t 5s
cu/JfJ2 �i�c'�
By Address
CONTRACTOR, AGENT
,/ d. L
Phone: �L — /�) YQ ApproveELECTRICAL INSPECTOl
APL FEES
W
Size Service Conduit......................Number of Outlets ------------------ I---------- 1 - -------- I..._.
Size Service Wires.....:.... -_.-........Number of Switches ------._I--------------
Size Service Switch �f xn�L...Number of Receptacles ------------ ----------
Size Sub Feed Conduit _-....._!........Number of Fixtures ------------------ ----------
Size Sub Feed Wires --- _ --------------- Ranges ................ KW.
Number of Circuits ................... Oven -------------- KW
Number of Meters------------------------Signs---------
Motors ........L......--- HP ...,/.,Q--------- Phase -------------- Permit Fe $1.00
Motors ------------------ HP ----------------- Phase ------=----- -------
Motors .................... HP ........... Phase --------------- H P Charge..--------/ 0---
TOTAL FEES ----2 c i b O
RECORD OF INSPECTION APPROVALS
RoughWiring-- ------------- I............................ Fixtures------------------- -------------- -------------
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ................ L- ---------------------- .otors _.- -------
DATE INSPECTOR Final -,;./�? ... �. ......-- '.
A I INSPECTOR