2765®4
-��j
NO. STREET LOT NO.
APAzJn FOR ELECTRICAL PERMIT
0
2 I OF CUPGRTIfdO
Date {l f MAY 2 2 1964 1. 195— Permit No.S
Fee y/1. S 30
AGhTVior0FheGWKRTo, tAe 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 Gc
By HEATH ELECTRIC
L05TUTUW,GR 4?URNIA
Phone:
State
Address
Address
Approved —_
ELECIIICAL INS►ECTUM
Phone ELSato 6.4423
RPL
Size Service Conduita/. ...._Number of Outlets...........
Size Service Wires./„ la-------- ---- Number of Switches.........
Size Service Switch.�-1���.r--Number of Receptacles.....
Size Sub Feed Conduit ------------------Number
of Fixtures_.............._
!C�,.
..........
.... �..CT.
Size Sub Feed Wires---...............Ranges.------1---
KW --------------
----------
----------
--------------
Number of Circuits-..--------------
Oven .......
..... KW-----------
----_...........
OG --5--
Nu be of M s.....1................Si ns...... ..
,� i� s /9 /,Yr PS t
Transformers..............................
X,96
Mi....�...-._----
"..._...
....---D --------------------------
-------
----------
-----"-�
Motors ------ H
Motors
- -.. Phase --------------------
Phase
Permit Fee $1.00
---------------- --HP --------------------
Motors -------------------- HP -----'---------
---.-.---
Phase ---------
------
------- --- H P Charee----------------
I.l. d.-
Rough Wiring
Finish Wiring
TOTAL FEES_
OF INSPECTION APPROVALS
� Fixtures
INSPECTOR
DATE INSPECTOR
DATE
-T
01 37
N TOR
.....-----------
1 CTOR
... .. .
INSPECTOR