2763NO. STREET LOT NO. �15�1
D OR ELECTRICAL PERMIT
OF CUPERTINO
MAY 22 1964
MAY 2 0196 63
DateW 195— Permit No.
CITY OF CUPERTN Fee �/6 , tlo
Application is hereby made to the City 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.
Use of Premises
Owner�� �l
BY HEATH ELECTRIC _
1QErrDfPRTB)lCAtiF¢{jRN IA
Phone: _ Am—
State License:����
Address
Address
Approved
gECntq: ECTUR
Phone ELgato-4a
RPL FEES
Size Service Conduir:;-��� .. M ...... _ Number of Outlets ._.....---------- ._._--- ----
Size Service Wile lo------ --- ----Number of Switches._______ .....
Size Service Switch�`f-r! ..Number of Receptacles. _..._-------
Size Sub Feed Conduit .................. Number of Fixtures ..- --------------- ...................
Size Sub Feed Wires -------------------- Ranges ......._ --- KW------------- ----------------- --------------
M f C' Oven K 9;2
Num er o rrcu ts------------------
--- ------- ------
--- -----
------
---- ---
Number of Meters.._
...............
Signs----- ...
ransf , ES --------
C
----------
------- ..
�__�%�
Misc..-
---.._.
.......... ......Dryers.../_------------------------------
--------
------
----'- f -
Motors .-----...-.----
H ....
.-.. Phase --------------.
Permit Fee $1.00
Motors -------------------
Motors--------------------
HP ------------------
HP --------------------
Phase --------
Phase...---....
---------
-.. HP Charge....---------- f:.Q.C7
TOTAL BEES
c/x t itv�
Rough Wiring -0.....-- --`-- - .........---
O [ I INSPECTOR
Finish Wiring ---------------- ---
DATE INSPECTOR
Fixtures_..
0.1TC
Motors .
Final .... _....._�
G