1936 (2) 1gg8 \ S-,- r , .
NO. STREET LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
D /Lo I OF CUPERTINO
Date IL ft An 11 5_ Permit No.
Fee.$ 'S
App ' i�l,�}�4re {eee����Trrrhhh�eN'�((�'{�ty of Cupertino for a permit to install electrical
wiring ] c �!tpxaft 1�1'Yle 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 theretot�' "
`o ` �e Me �. r�gCl tTt e
Use of Premi M M. t�2Q.
;.a Owner A / Address r ^
By I11 t 61t G`-"^'Address '`
C � �n37� ✓ APproved - 1
Phone.'X '; ELECMCAL IMMTO&
NEW RPL FEES
Size Service Conduit......................Number of Outlets.................. ...91
----- - ----------
Size Service Wires_.......................Number of Switches_.............. -------- Y #.� Acf
- ---------
Size Service Switch.....__...............Number of Receptacles.........._ ---
Size Sub Feed Conduit------------------Number of Fixtures-"_6_ 42KC.-I Y,?_Kkx
Size Sub Feed Wires---------------_---Ranges-------------_ KW-------------- ---------- - -------- --------------
Number of Circuits-'-.....'--....... Oven -------------- KW.....-------- -------- - ---------- --------------
Number of Meters........................Signs.......... Transformers........ ... ---------- --_----------
Misc-------- --:�----------------...............Dryers..------------------------------ --------I--....._. _v9_�7
Motors----F.R_r„HP-------------------- Phase....................
Motors.................... HP-------------------- Phase-------------------- Permit Fee $1.00
Motors---------_------_ HP-------------------- Phase--------- ---------- H P Charge ,C.4 5
TOTAL FEES
RECO OF INSPECTION APPROVALS
Rough Wirings'.....-'--....r-:---------------- j. Fixtures ---------------------- --- -- --- - ------------
.,TE INSPECTOR OAT[ INSPECTOR
Finish Wiring ----'-------...I------------------- Motor,47----- --- --------- - - --------------------
TIC SPKC,O, I CT.R
Fin ...'..-'...
D YX I'SPXC