2340 LOT
NO. STREET / /// LOT NO. ..
l
ICON. FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
+ + ! AUG 23 1963 � 1,
� .
C�
Date , 195_ Permit No. S
CITY OF C1:?FR'a Fee s —
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
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and
/mall other laws applicable thereto.
v «� ✓��x - L . I " / C2UX
Use of Premi1 �C1717L-L 2�L jj'rFi�%X''�.
;a Owner O ddress _
ro X3y £ Addres
ONTRACTOR, AGENT
v / `� n Approve
Phone: X7Z 'f C?C- iecrxruc INSPEC7D1
NEW RPL FEES
Size Service Conduit----------------------Number of Outlets------------------ ------ - -_-------
I_------
.----.
Size Service Wires--------------------------Number of Switches---------------- _--.--
Size Service Switch------------------------Number of Receptacles.....---. ----------
--------- --------:-..
Size Sub Feed Conduit------------------Number of Fixtures------- --- - -------- . .......... ..............
Size Sub Feed Wires...................Ranges---------------- KW.- - <�- •- . .- :......--- ,'.16
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-------------- ------ --
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring................I...........------------`-- Fixtures - ------------ --�---------- .............
DAT■ IR]r[CTOR OAT LCTOR
Finish Wiring ......-.:..-----I- . ' -. Mot -- ... - ---�--- -- ...0.R..--'
oAT[ IRn[ciOR I OR
. Final . .---------- --'---�--- --
1 DA IXp[CTOR