2827 NO. I 1VEX-/D&—EET pof • — � LOT NO. S V
y 0 ! I FOR ELECTRICAL PERMIT
0 < D I OF CUPERTINO
1S ' JUL 20 1864 �/
4 o Date 7/1 7 19 -Y- Permit No. -2-4) 7
CITY OF CUPERTINO Fee s'g-o.
a m pplreation 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
�. wiring and/or fixtures in accordan(e with the provisions of the Electrical Code of the
00
> City of Cupertino, and all other laws applicable thereto.
o a G'e-S .
z Use of Premises /l
J 0
J °
3 Owner L I�SSOti Address
— N
W w By lr/1K'l1/ul LCLST NG . Address 0 1j6 ✓, CW t a
n CONTRACTOR, AGENT 4"
0Z A
a u Phone: 2 S-L - S SL� ELE uE �NtrEcroa
Siate License: 2 Y//
i�
NEW RPL FEES
-F7 -
,57. 30
Size Service Conduit----?�...............Number-of Outlets------------------ - - --- ------ - --v__
Size Service Wires--- --- W..Number of Switches................ ..5-0-- --- --------- ...'57. 6,0
-- ... .
Size Service Switch__/��Switch../ ........Number of Receptacles---------- - ----��7_--- --------- --------------
Size Sub Feed Conduit-----------------Number of Fixtures------------__-- --------- ---------- --------i�.I
Size Sub Feed Wires.---------.----Ranges----f---------- KW.......---.- ---------- ---------- ---
Number of Circuits................... Oven -.L-------- KW---------- --- ---------- ---------- ----
Number of Meters........................Signs.......... Transformers........ . ---------
Misc--------- -7--- ------- ----------------.Dryers....(.. -- .. .......... .....--- ------.. .:...r--------
Motors--- 5 ......._ HP.. . / �- ----- Ph , , ,
Motors-------------------- HP-------------- Phase.... ............... Permit Fee $1.00
Mo HP .... ---------- . Phase.------.._--_._.. H P Charge..... Z5
TOTAL FEES—
OF INSPECTION APPROVALS
R- Wiring - - --- -*---------A Fixtures _....-------------I-------.------------ - --
CINSPECTOR DATE ..11.CT.1
Finish Wiring .***_OATS_ _ ..... . ......IN_SP_EC-T-0-It...jMot0rS -------------
---------------*11----------
Final
DATE INSPECTOR