1444 1o�of 11 .0 - -9-
NO. STREET LOT NO.
P�q �2rF�OR ELECTRICAL PERMIT
CUPERTINO .
JUN 12 1962
Date 1195— Permit No. �� r
Ap�tY��// (� (� [pT�p� Fee 5 60
, lstF..CoaER %'Qity 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. LIS
/
v Use of Premi cM Mes2Cla ` -L19 g t�1S 1
a I
K
C—tJE�,AV122,R � �) -wner'X� Address
S� f 4y Address
CONTR TOR, AGENT
(-,�` Approved
Phone: ELECTRICAL INf►ECl'Ol
NEW EEL FEES
Size Service Conduit......_..............Number of Outlets._-.------ ...... .Z---- -------- .-----So
I- ------
Size Service Wires..........................Number of Switches------.---.-* --:;------- -------L....,....-...I
Size Service Switch...................----Number of Receptacles...........- ---------- - ------- ------------
Size Sub Feed Conduit............._..Number Number of Fixtures...._............ ...-. -- ------- --
Jo
------------
Size Sub Feed Wires............._....Ranges................................ KW------------- ---------- ---------- ---------------
Number of Circuits......-- ........ Oven .............. KW------------ ---------- --- ------ --------------
Number of Meters------------------------Signs.......... Transformers---.---- ---------- --------- --------------
Misc------------------------------------------------Dryers---------------------------------------- ---------- ------------
Motors------------.---- HP--.-------.----- Phase.....-..-...-----
Motors-------------------- HP-------------------- Phase-------------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase-------------------- H P Charge...-------------1�----- -----
TOTAL FEES---L
RECORD OF INSPECTION APPROVALS
Rough Wiring....-._-..._-- -------------- -- ......... Fixtures ... ------------------
I--- -------
r it INSPECTOR DATE INSPECTOR
Finish Wiring
.......... ........---...-------- ----------
DATE INSPECTOR
R
oto --A
--tFinalrs)
0
OAT INSPECTOR