2703 l o 114 r ID//A RA P DTR
NO. 5 T - LOT NO.
w
r o PC T fOR ELECTRICAL PERMIT
0 ` 1�, 1 APR 27 1964 ,�.cl OF CUP-ERTINO
5 U -
= o !�
ow Dat /VUf L TF'r 19�I Permit No.
Pee Spy. .s
a m Application is hereby made to the City of Cupertino for a permit to Install electrical
w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
r �
LL wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
> City of Cupertino, and all other laws applicable thereto.
° ` R rs t pr ,GF_
Use of Premises
JE
0
3 a Owner /p UO LI b 7 Address /d-'L env
W i gy 4 rfFf P F i r,C-TC Address /
0 2 CONTRACTOR, AGENT /
_t1 Phone:? SG - 7�-��J� ( ELEClA1UL INS}EC1p1
State Licens7_-.Z4
O
NEW RPL FEES
00
Size Service Srvce=ondmtt NumSer of Outlets......_._..__. 0
Size Service Wires.-J11)JAV.2,�Number of'Switches. -------- -�7---- - --- - -----
Size Service Switch__Z509-------Nuinbz!r of'RL.ceptacles------------ . _3.-E3 3,z,
---------- .............
Size Sub Feed Conduit------------------Number of Fixtures........._ - 94-0.. ......../...P 6
Size Sub Feed Wires.--................Ranges---------/----- KW....-------- ---------- ---------- --------------
Number of Circuits------------------- Oven ....../...... .�L_�S
KW----...----- ---I- * - -- ----- ------:mq_
Number of Meters---------I.............Signs......__� . Transformers-------- --------- ---------- --------'/- -5b
- -6
Misc.................................. .............Dryers.,........../---- .... .............. ........ . ..------- --------------
Motors.......4-------- HP Phase...._...._......_
Motors.................... HP-------------------- Phase-------------------- Permit Fee $1.00
Motors.-..---------------- HP-------------------- Phase.................... H P Charge....----...... ----./D p
TOTAL FEES
0 OF INSPECTION APPROVALS
Rough Wirin -------------------------- Fixtures ._------------ -------------------- --
Finish Wiring --'---'---....L..-.....--'-'--......._D A ( ....E C T - Motors..t DATE .......�INSPICTQR
DATE INSPECTOR11 A 0
Final ....... • -----------------_---------
DAY INSPECTOR