2768 124627 405-zag?
57
�o NO. T T LOT NO. /
N
r o P � ELECTRICAL PERMIT
o CIT t CUPEWM40
3
VY 22 20 1964 `! d
° 1964' a
_ °
4 w Date , 195— Permit No.
° ` CITY OF CUPERTiNO pee
a a Application is hereby ma a to the City of Cupertino for a permit to install electrical
rw- ? wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 0 City of Cupertino, and all other lases applicable thereto.
0 <
z _j Use of Premises
J_ Z
3 a Owner `Y � Address -
HEATH ELECTRIC
w w By �c�cc c�.0 0�� was _ Address
ao tvnrr4w®fORSAttlEHENIA Approved
—U Phone: S.i.ECT1Uut WSPECIOl
�AJ7F7��T-yi��'
State License: Phone ELSato 6.4422
• P,3w RPL FEES
Size Service Conduitcp�. .4e-----Number of Outlets._....I....... - --- ----
Size Service Wires..47-:�Z� e)-- ---.---Number of Switchcs;-:--- ---------- -------* ----- ------
c6l
Size Service Swit —/Iv
.......i.9---Number of Receptacles............ ... --- ---------- -------- -----
Size Sub Feed Conduit-- --------------Number of Fixtures_.._............ 47-- ---------- J..�C!.
Size Sub Feed Wires--.----.---....Ranges---------/
....... KW.......'----- --- --------- ---------
Number
-------
Number of Circuits---------------- Oven ......I.......... KW.----i------- ------- ---------- ------
Number of Meters..../..........._..Signs.......... Transformers........ ......-.-- .......... ."
Misc-------- ryers-------
D . ......... -------------------- ----- .. .......... ..............F
Motors0K...................H .- Phase...........__.__ Permit Fee $1.00
Motors-------------------- HP----------------- Phase-----------------
0 ors-------------------- HP.................... Phase-------------------- H P Charge..--- .....Ke.0-0-
TOTAL FEES
FO OF INSPECTION APPROVALS,
Rough Wirin, _j .....—------- Fixtures ----------------
A .SPECTOR DATE
--
Finish Wiring .........---- ................. Moto ----
DATE I.SPEC,
DATE