2469 /� ;7,s�1 11 TPI�p H ^RV�4t'.•l tl�Vt bv1 M �f'1 `_T
NO. STREET / Tf LOT NO. /
® ARPL IC- IOOR ELECTRICAL PERMIT
lei ' OCT 24 196W!
31 OF CUPERTINO
Date 14.1- Permit No. t'
CITY F t I Fee s /G• "
FIN 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 all other laws applicable thereto.
U, Use of Premigpq ) U h H/ 1 /tiLich
;I Owner �+/ ' Y Address�•�
u — A
ByGU / Address
NU° �'�• � (."1
.. CONTRACTOR, AGENT l -J, -'Y
� ti'2e�ls��
Approved
Phone: ELECTRICAL INS►ECTOM
NEW RPL FEES
Size Service Conduit...a....----------Number of Outlets-------.
n
Size Service Wires----24------ ------- of Switches...._..____E. _ _.-_----- !_Z_ '_G'0
Size Service Switch---------....-----------Number of Receptacles. --------- �.T..- ------- 3--�(J
q
Size Sub Feed Conduit—....--------Number of Fixtures........._.......
Size Sub Feed Wires-------- --------Ranges......3----- KW------------- --------- -------- .
Number of Circuits................... Oven ---3------- KW--- --- ------r2e.�l
Number of Meters------* -------..Signs...-.----- Transformers...-'---1--------- —'----- ----- --------
Misc.---------- ------.Dryers.....---�----------------------- -- -------- xA
Motors...------------- HP.- a-Yi--- Phase...................- Permit Fee $1.00
Motors------------------ HP------------------ Phase-----------------
Motors----------------- HP---------------- Phase-------------------- H P Charge.------------- r�26----
TOTAL FEES �rs
OF INSPECTION APPROVALS
Rough Wiring'-�-1-- ----�-I------------------------ Fixtures ---- -------------I-
-----------------
AT � INSPECTOR I OATF IN.
ORFinish Wiring --- ---'...... ---------- -- '- Motor57�.... _..... - ......OAT6 IRIR[QOII C! '�aA [. / NSPCC '
4 .tA
r
Final ..' - .........�.�- ----------------
DAT[ INSPECTOR
Multi-House Electrical Inspection Card
Electrical Permit No. ..........
APT. ROUGH FINISH
NO. WIRING WIRING FIXTURES FINAL
1.
2.
3.
4.
6.
7. r
—8-
9
1-0.
12.
13.
14.
15.
16,
17.
18.
19
20.
21.
22.
23.
24.
25.
119 1/63-500