2530 NO. T Sal LOT NO. .
APLFOR ELECTRICAL PERMIT
' 'GEC 18
1963 �ky OF CUPERTINO
Dyt t n I ^'^'^ , 19h— - Permit No.
V . Fee /1(0' 2S
s
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
R wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premigeq 44A1,1 Y
c
aOwner
mBy _ Address
v) CONTRACTOR, AGENT / >
S pA��� APApprove,,�,
Phone: ELECTRICAL INfP6C701
NEW RPL FEES %
Size Service Conduit-.c2--##/---------Number of Outlets----- -XV ---------- 4. ?0
e -
Size Service Wires.... .
.............Number of Switches._____....-- - ------ - -----
YO
J!. .70
Size Service Switch----------------- Nurnber of Receptacles..__...... -J�-- ---------- J-1
aSize Sub Feed Conduit-J.. --------Number of Fixtures----_----------- ---------- ---------- ----------
Size Sub Feed Wires.-A;..41---------Range's........ .... KW........----- ---------- ---------- -�PA
----------
Number of Circuits................... Oven __J....... KW------. --- ---------- ---------- 1-I_---0--
Number of Meters........-.......Signs--------- Transformers-------- ---------- ---------- ----- ------ -
Mist.--------' 'V
---Dryers..------------------------------------------.2— ----- ----------------------- ---------- ---------- /�i>
Motors---- H Phase-----------------
Motors.-------..----.
------------------- Permit Fee $1.00_,�
Motors-------------------- HP------------------ Phase---.--.-------
Motors-----------------_ HP-------------------- Phase.................... H P Charge.------------- 116
TOTAL.FEES!:��
RECORD OF INSPECTION APPROVALS
RoughWirinp-------------- -------------------*------ Fixtures ------------------I.........W - - ----------
DATE INSPECT.. DATE 5,KCT0R
Finish Wiring .........T-K..... IN.SP-I-C.T-0-N--- Motors -12! roe
�.
Final )...�pt �§
. ................... -----------------......
DATE INSPECTOR
f
)Multi-House Electrical Inspection Card
Electrical Permit No. ------------------------------------
APT.
.............................._..APT. ROUGH FINISH
NO. WIRING WIRING FIXTURES FINAL ,
2.
3.
77
4. II
7.
R.
9.
10.
11.
12.
13.
14.
15.
16.
17.
:3.
19.
til
?l.
2 .
23.
24,
25.
119 1/63-500