2714 22364 Riverside Dr. _ f�
No. EE _ LOT NO. 85 Plan 200
Z - �
M ®APPLICATION FOR ELECTRICAL PERMIT
0 � ""APPLICATION
27 1964c, Y'00P CUPERTIP40
12
LL o Date __PITY CF CU kk 195— Permit No. .
° a Fce S
<m Application 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
4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
> m City of Cupertino, and all other laws applicable thereto.
z_j Use Of Premises residence
J 0
3Q Owner Deep Cliffe Dev. Co. Address5l0 So. MathiIda Ave. ,
- H. G. WANDERER unnyva e
w w By - _ _- _ _ Address
O 7 SU NN-991'=-AUq1.1'AOINMIA
a ° PHONE 736-5421 Approved LL
—U Phone: ELECnUCAL WSPECTM
State License: 12422
NEW RPL FEES
Size Service 6nduit_.--------------Number of Outlets...-..._......... - .......... ....
Size Service Wires....... ----------Number of .Switches..._.."._... . --------- --------
Size Service Switch__jr��A-----Number of Receptacles............ . -- ------ ----- .....
Size Sub Feed Conduit/-, !/4-"Number of Fixtures_........_-__. 2 Z-1)
-
-------- ---------- ----------
Size Sub Feed Wires#40*eP_Ranges.......I------- KW---- --- --------- ---------
Number of Circuits--.--.. ' ..... Oven ----- ...... KW------------
Number of Meters......../......._....Signs........_ Transformers-......- ----
ransformcrs__ I---- --- ------
Misc.......... -----------I Dryers.....I------------------------------- ----
..... .......... ..............
Motors......�t H P. --- Phase....._._.......... Permit Fee $1.00
Motors---------- --------- HP--------- ---- Phase----------- ...... .
Motors------------------- HP--------- Phase----------- -------- H P Charge------------ ..�.
TOTAL
harge-------
TOTAL FEES
I A'Sed
OF INSPECTION APPROVALS
Rough Wiring -------- ---------- Fixtures ---------------------- --------- --------------- --
OAT DATE INSPECTOR
. ... Motors ........
Finish Wiring ......... ........................ - -------- ------------ ------------
D.TK INSPECTOR Final a'T t TOR
...................
---- INSPECTOR