2415 V do
NO. & 'ET LOT NO.
PLICATION ELECTRICAL PERMIT
1 SEP 18 196x1 pi: CUPERTINO
T•s`^ �jJ
Date � , 195— Permit No.
Fee
Application is hereby made to the City of Cupertino for a permit to install electrical
ry 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
1)
O City of Cupertino, and all other laws applicable thereto.
ri
v Use of Premises %3 UL�I/ /wsZ117T
c � �
:a Owner_/.1'/� c s �P 1 Address J-211' CM vy
By / r Address U
CONTRACTOR, AGENT
S r �6¢/ Approved
g. Phone: ELECTR[UL [NSPEC[Di
• -'• NEW'- RPL FEES
II
Size Service Conduit...L>2..._..........Number of Outlets_................ . .�-------�-- r-v
Size Service Wires----02 0............Number of Switches................ 1.2 /`. _...-... .�•6
Size Service Switch------—. ...........Number of Receptacles............ ...(!. . ........I-3!.k)
n
Size Sub Feed Conduit.,/.............Number of Fixtures------------------ ---------- ---------- --------------
Size Sub Peed Wires..._w..........Ranges-----
77------ KW-------------- ------- --------
Number of Circuits---------------_- Oven -J.------- KW------------- -------- --- ------ — �•S
Number of Meters------ ............Signs----------
Transformers........
I.......... -..._----- ------------.
Misc.-------------- - Dryers... A---------------- /,%570
Motors----.�_* H ..----.
Phase-------------------- Permit Fee -I.00
Motors-------------------- HP------------------ Phase------------------
Motors------------------- HP------------------- Phase-------------- H P Charge--- --------
TOTAL FEES L i
RECORD OF INSPECTION APPROVALS
Rough Wiring--------.-T-E-----' ---'-----I-N-S--R-.---T-O--R----- - Fixtures ....
------�-----
Finish Wiring ....:.D.A.. ......... .CC'- --- ..
...._-
Motors -. ........ -' �------ --........------ -
DATL IXLTLCTOR 1
LR ECTOR
Final ' t.ti..�
r . - .........
D TL IXLRLCTOR
Multi-House Electrical Inspection Card
Electrical Permit No. ......................._._........
APT. ROUGH FINISH
NO. WIRING WIRING FIXTURES FINAL
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13
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1 G.
17.
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21.
72.
23.
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25.
119 1/63-500