1799 (2) 22460 I St. Andrews Ave. o
NO. STREET LOT NO. 18 Plan A
A_ P ICATION-FOR ELECTRICAL PERMIT
LT�
Y OF CUPERTINO
'DEC 6 1962 . I -1 X19
Date 11 -29_ 1Az Permit No.
CITY 0c CUPERTINO ' 01 "
Application is hereby made to the City of Cupertino for a permit to install electrical
(4 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.
residence
Use of Premi
c 510 So. Mathi lda Ave.
Owner Deep Cliffe Dev. Co. Address S nyvale
By iAddress Sunn vale
\ CONTRACTOR, AGENT Approved
Phone: J ECrRWAL rN MTOX
NEW RPL FEES
Size Service Conduit-----ZYt�---._.Number of Outlets.................. --- .. ......_._I----4.30
Size Service Wires......�P ---Number of Switches...-...._--.--- - -d-- -----_..-I._.4,�_p
Size Service Switch.....)_*_W....-Number of Receptacles------------ - --- A?
Size Sub Feed Conduit------------------Number of Fixtures_._...........-- --z� ---------- ----
Size Sub Feed Wires...................Ranges------ .... KW-------------- -----/
--
----- -- ----- --
---- -------
Number of Circuits------!-.......... Oven ----/........ KW_------------ --- ----- ---------- -------12j-
Number of Meters-----I................Signs.------- Transformers-------- ---------- ---------- --------------
Misc----------- Dryers--- ------------------------------ --- ---------- ----
Motors..------4..._.......... Phase-------------------- Permit Fee $1.00
Motors----------.--.--- HP.................... Phase-----------------
Motors-------------------- HP.................... Phase............. ------ H P Charge--------------- ----/.
TOTAL FEES
CO: D
_WSPEcril N APPR
..... ....
Rough Wiring/-/py��Y,'.R.j .. .. ..... ---------- - -_- --- --
DATE
Finish Wiring ----------------I------- -- - ------ otors
DATE IKSPECTOR ft
SIECTO
....IfFinal ..........///.^....... ......
DATE INSIKCTO*