2429 Oh� SCRE i LOT•NO. _
.W
r o PPLICATION ' FOR' ELECTRICAL PERMIT
o a C TY OF CUPERTINO
3 .- 1 OCT 4 1963 �
1 0
r O
LLr Date 195— Permit No.
° < �. Fee3,o CCITY OF CUPERTII\i
a a 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
00
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
'> N City of Cupertino, and all other lawicable thereto.
0a
� 3
a Use of Premises L)
J Z �
o
3 a XOwner Address
— N
w w K By ` ._ Addr
0 q nn CONTRACTOR, AGENT
a u V1Q �77 APProved
— Y Phonc: / LE ICAL INS}HC70H
n, \k State License: ` 6 z 332
NEW RPL FEES
Size Service Conduit----------------------Number.of- Outlets----.............. ------.- .r--------- --`--- --
Size Service Wires--------------------------Number of Switches---------------- ---------- ---------- -----.-- .
Size Service Switch----..................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.......... Transformers------- ---------- .
Misc---------------------------.... . ............Dryers........... ... .......... .......... ...-.........
Motors----------------- HP------............. Phase---------------- Permit Fee $1.00
Motors........... HP---------- --. P e --- .
Motors.....��....1. ... H P C ... .
� -
TAL F
R ORD OF INSPECTION APPR
8 Wiring- - - � - -
Rough ------------- ------ ---- Fixtures ----------------
DATE INfrECTOR DATE INSPECTOR
Finish Wiring ----------------I.................._.._ Motors -------------...........
: - - - �� -----------
----
DAre xfrrcrDR DATE . XR---il X�ojt-3 - r.