2663 22383 -Riverside Dr. _ 6
NO. STREET LOT NO. «�
r g PA COR ELECTRICAL PERMIT//`//'/`y/L
0 ' a OF CUPERTIP40
3 1r�4. 7 1964 / 6 3
1 0
LL /
0 Date 195 U4
F � Permit No.
CITY �'I [DT I Fee S
<m Application is he(ePPPl lto"thetCity of Cupertino for a permit to intall 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 lases applicable thereto.
z_j Use of Premises zlzle '
J 0
3 a OwnAddress-5/�
z
H. G. VL
¢ p
By — Address
CONTRACTOR, AGENT
a O SUNNYVALE, CAL1�Cr^^.NIA Approved
—U Phone: PMMNF 735-5421 ELECMrAL RR►ECrCa
0� Siate License: 12422 '
_ MEW RPL FEES
Size Service Conduit-.-/,/ .........Number of Outlets------------------ ---:23 ---------- _------- .---
Size Service Wires.---.-:-d�------------Number of Switches----_____.. .IA7 .-7l.---- �O
Size Service Switch..--L S?I�---Number of Receptacles-.....------ -31. ---------- ............
a 3 " aha
Size Sub Feed Conduit---�_�-- -umber of Fixtures__------------
Size Sub Feed Wiresl�4;,, Ranges-------/-------- KW-------------- ----- -- ---------- ---.-75
Number of Circuits------ -- Oven --/------- KW------------- -----I-- ------ ----------
Number of Meters---------/-------------Signs---------- Transformers..-_--- ---------- -------- --------------
Misc.--------------- ------- ---------� -- Dryers------- ----------- --------------- ----I-- ------- -------
Motors-------- ---- HIS----- `'------ Phase-------------------
Motors-------------------- HP-------------. Phase_.................. Perini[ Fee $1.00
Motors--------- -- HP..........-------- Phase----.. --------- H P Charge-.-------------- -
TOTAL FEES -�
CO OF INSPECTION APPROVALS /
Rough Wirin 30 ..2`t.-.--.,..------. Fixtures ------...-.-.-- .-.- --...... �-
o T[ INSPECT OR — AT.
IN4[CTOR
Finish Wiring --------------- ------------------------ Motors ,-JJJ'''-----I1U-•\�"_'�' - -��-f)..��---
--
------
INSPECTOR / �IaR�l [CTO,
Final ..-......1/{/.---.. ......-.�I ------------.......
OAT[ INSPECTOR