2787 �0 567 1 �"�
NO. STREET LOT NO.
N Q
r o PRJ�Er�4T OR ELECTRICAL PERMIT
0 i D ff��tt���� I F CUPERTINO
u
= 0 MAY 26 1964
o
W Date 195— Permit No.
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0
�/ nC 'Ip pT Fee Soj.ov
i AppTdn iill�rekiWCd�fa4he\�CSny of Cupertino for a permit to Install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
0 0
> City of Cupertino, an all other IaR'S applicable thereto.
o J a Use of Premises
0
3 i Owner ? Address/ rl l
— N
W
a �By Address
< O CONTRAACTOR, AGENT proved e
u Phone: 1 Z'�'/"2�� pP ELECTRICAL INS►EL701
State License;
NEW RPL FEES
Size Service Conduit......................Number of Outlets..........__.... ......._. ......__Y
Size Service Wires..........................Number of Switches..... ------- -,2-- --- ----
Size Service Switch------------------------Number of Receptacles._......... .13.... .........
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........_..----- Phase.---------------.
Motors-------------------- HP..... ............ . Phase.. ... ---------- H P Charge------------ ---- ........
TOTAL
harge----------------
TOTAL
SPECTION APPROVALS
.. .......... Fixtures Rough Wirinprr
--- --
OAT, INSPECTOR
D E IXSIECTOR
Finish Wiring ............... ..................
. Moto .
OATS INSPECTORA
Final .
DATE INSPECTOR