2645 NO. STREET LOT NO. �O
P R . ELECTRICAL PERMIT
I CUPFRTINO
I MAR 191964 // Sys
Date a 19§'� Permit No.
CITY QF UPERTF�IQ Fee °
Applrcat�on is ereby made to the City of Cupertino for a permit t/9 a stall 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.
v Use of Premi=P< ��—��
v
a Owne Address/�u"/1�/ �X�.0- -+' ��
By Addresses r
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL WSPECM
NEW RFL FEES
Size Service Conduit.... . .........Number of Outlets.................. _I.... .......... ...16e9
Size Service Wires------ t.----Number of Switches---------------- --14r- ---------- --
Size Service Switch..1�.)L .._.Number of Receptacles------------ . ---------- -!00
eq
Size Sub Feed Conduit....... ........Number of Fixtures------------------ -/j�..- ---------- ----/�..
i
Size Sub Feed Wires.........-----------Ranges---------------- KW-------------- ---/>-- --------- ..._.. .�Z..�.
Number of Circuits------------ --- Oven -------------- KW-------------- --.1.-- ---------- ------- .✓�
Number of Meters........... ------------Signs---------- Transformers-------- --------- ---------- -------------
Misc...."--------------------------- .`../. Dryers................ . f....----'--- -----__ ._..----- -----/-..J
Motors......�-------- HP----- 7. _ Phase-.-1�.......
Motors--------------.---- HP---------------..-.. Phase----------------- Permit Fee $1.00
Motors-------------------- HP------- Phase----------------- H P Charge----------.... .--- ---..
TOTAL FEES
` OF INSPECTION APPROVALS
Rough Wirin /-�-
. ..-` ----------....-----. Fixtures ------------------ --------. --- ----------
ATE �. IMf LECTOR TE/ LECTOFinish Wiring -----------�. ... Motors ...,.... ..._. .....�..---:= -.....---------
DAT[ INSPECTOR
L� O iE I / 1 LECTOR
Final --�--' -�-�- ---J�-I-- ------�....
DATE IRERCCTOR