2379 10360 I Farallone Di. Lot 73,
No. STREET LOT No.Plan 191
APPLICATION FOR ELECTRICAL PERMIT
�+( .�[JSEcP 9 1`9EGITY OF,• CUPERTINO 7
Date es-E Ar• 1\195— Permit No.
U11 1 V1 vvl '
Fee .o20
Application is hereby made to the City of Cupertino for a permit to install electrical
N 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
N City of Cupertino, and all other laws applicable thereto.
u Use of PrcmisP= residence
c
u
a Owner Di tz-Crane Address San Jose
H. G. WAN7I37: R
;q By -- -- Address
SUN NCiQ.N„ oioR,UwNIA �✓t-�-� ,
Approved
Phone: PHONE 73+-3421 ELECTRICAL. INL►eCT02
NEW RPL FEES
Size Service Conduit-------13-------Number of Outlets---------------- --La..- ........I...----.--..-.
Size Service Wires---------- ---Nurn of Switches-_____...-- ----- her wi L-- r-------- ----5:-A
Size Service Switch------Ik':PAI-----Number of Receptacles---------- --31---- --------- --------------
Size Sub Feed Conduit-----_-_--------Number of Fixtures..--__---------- ---j-(� J. �
- -- ---------- --------------
Size Sub Feed Wires--------------------Ranges.......I....... KW._--------- ---- ---------- -----7-------
Number of Circuits------ ......... Oven ....L.._.... KW------------ ----I-- --------- ....7 -
Number
W---------
Number of Meters.......!---------------Signs.......... Transformers......-.
Misc...................q-----------------.... HP-----
- Dryers---------------------------
Motors.......... .
// ----- Phase------------------- Permit Fee $1.00
Motors-------------------- HP—----------------- Phase--------------------
Motors-------------------- HP----- -------------- Phase----------- H P Charge---....... ........
TOTAL FEES /t
OF INSPECTION APPROVALS
Rough Wiring/- ---------------- -------- Fixtures --- --------- -------- -- ---- ---
DATE
ATE INSPECTOR
NSPECTOR DATE
.-.1.....
Finish Wiring ..... ....... --------I-- -- .. . motors --- .
DAT9 N51.CT0f /.. 1LC.
T.0 R
Final .. . ......... . ..-.-..-.-.--.-
DAYS INSPECTOR