2338 /o a S3` Ie-�5ST _ .
h0. STREET LOT NO.
PUT NFOR ELECTRICAL PERMIT
CITY OF CUPERTINO
?AUG 23 963
Date , 195— Permit No. o�C-1
CIY OF
C JPER T `� � Fee 5
T .
Apphcation 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 lams applicable thereto.
v Use of Premigpg
'a Owner ��m�`"� CEA/y Address /ya53�FEST,gTT
N By ,/�D - Aral 1,%, C Address n�TOfICr
CONTRACTOR, AGENT
, Approve r \
4 Phone: `� / �'L�/ LECTRIUL INsreema
.�7
NEW RPL FEES
Size Service Conduit----------------------Number of Outlets------ ---------- ---------- ---------- ---- --
Size Service Wires.-.-------------------Number of Switches-------------- ---------- ------ - ------------
Size Service Switch...-------------.---Number of Receptacles------.---- -------- --------- -------------
Size Sub Feed Conduit..................Number of Fixtures__.--- .X-- -4--a-:0
Size Sub Feed Wires------------------Ranges---------------- KW-------------- ---------- ---------- --------------
Numberof Circuits....--------------. Oven -------------- KW-------------- ---------- --------- --------------
Number of Meters------------------------Signs------/- Transformers---LI---------- ----- --
Misc-------------- ---------------------------------Dryers--------------------- -- -------------- ---------- -------- ---------
---- ---
Motors----------- --- - HP--------------- - Phase....._.-.._-------
Motors-------------------- HP-------------------- Phase-------------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase........... ........ H P Charge....-----------I--------o p
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring---- ........... ............................ Fixtures ---------- .....
DATE INSPECTOR 0 A,.
Finish Wiring ................. ------------------------- otors ... . ................
DATE INSPECTOR %
Final4
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-----------------------
D T.
ATE INSPECTOR