1306 6;) 7.5 .1 the//y Y
NO. STRE T LOT NO.
AiC/kQ FOR ELECTRICAL PERMIT,
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I OF CUPERTINO
JAN 31 1962 I
Date 195— Permit No.
rr J TTV�/tiofk CC hcWRFee S 7
l AlT NQC ty 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 all other laws applicable thereto.
� rr
v Use of Premlcrc /v
c _
Owner Address
(( j
By . ,. P ]ter :oma Address
Yom// CONTRACTOR, AGENT
1/ � J ,/ , Approv I ELECTRICAL INSPE
NEW RPL FEES
Size Service Conduit... ._......Number of Outlets.-_----------------------------- -/Z--- ---------
Size Service Wires.... —---------- 2 L7
Number of Switches-.-------------- ---------- ----------
Size Service Switch..../4? --..._----Number of Receptacles............ --- ---------- --
Size Sub Feed Conduit---------------- Number of Fixtures__......-------- ---------- ----------
Size Sub Feed Wires--------------------Ranges...... ........ KW-.--------- ---------- ---------- -------7::C
Number of Circuits---------_------- Oven ._.J........ KW----------.-- ---------- ---------- --- ----7J^
Number of MetersJ...................Signs..-------- Transformers..-.....I---------- ---------- ----
Misc................................................Dryers---------' -------- ---------- ----------I------
Motors----------- -------- HP.................... Phase........... _ -
Motors-------------------- HP-------------------- Phase-------------------- Permit Fee $1.00
Motors.....41------------ HP.... ----- Phase....----------- H P Cliarge---------------
TOTAL FEES
ICO2PECTION APPROVALS
PROVALS
Rough Wiring --- -- - __�. ...... Fixtures - --- ----- ---
- --- - ------------
-----------
-
DATE INSPECTOR
NSPECTOR OAT[
A7Z INSPECTOR
Finish Wiring ..._ .........*........ ..... oto'S ............. --------- --------
DATE INSPECTOR DATE INSPECTOR
Final ----------- . . ......... ----- --N .. .-
-----
DATK ISPECT0R