2816 2 u r c,R I 1� Q _
NO. STREET LOT No.
N Q -
r o TITY
FOR ELECTRICAL PERMIT
OF CUPERTINO
16�5 U
z LL 1964
o Date_ nnCC ((��''11p ERS `` n I ,� Permit No. Z
a N p Oal' Ys hhr T AN o Y P permit
S
ClIOU m e to the Cit of Cupertino forta 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
Oo
> a City of Cupertino, and all other laws applicable thereto. 1�
Use of Premises 9»e� J ���oS S 20 f>d S J.
J Z
J O '
3 i Owner 5 'rAddress
— N
w z BYQ-'��-c�-�/ �ti Address e �
ww -
O CONTRACTOR, AGENT A rove _-
/}
-U 'Phone:�z AV �GS9 L PP ELECTRICAL I STPC[O
fi��s State License:
~NEW RPL FEES
Size Service Conduit..'-3---.___-.Number of Outlets------------------- ......... ..2
Size Service of Switches---------------- - --- ---------- -------7.-
Size Service Switch--2?s,..33:-Number of Receptacles.........._. P7... .......... .
Size Sub Feed Conduit---Z, ------Number of Ftur -------------- -- ---------- ---------
SIC?-es- kc�L
Size Sub Feed Wires.. .....Ranges------------------------------ K ------------- -------- ----------
--- ----- ----
Number of Circuits----......_....--. Oven ......r!-. ---T -1
ekw...�4------ ---------- ------- . ..........74�
Number of Meters..............._-------Signs.......... Transformers.....--- ---- ---------- --------------
Mise---
------------------------------------.....Dryers------------------------------ --------- ---------- --------------
Motors m2--/v Z- '.Zr HP.. 'r
Phase--------------------
Motors 1-r3-ej-------- HP----------- -------- Phase-------- -------- Permit Fee $1.00
Motors�?.--5:------------ HP-----'--------- Phase H P Charge--- ........ 10-b
�/Ng'rAL FEES—.
U.A.+a..l POM -a-INSPECTION APPROVALS
RoughWiring---------------- -------..................... Fixtures ............-- ------- -- --- --- ----------- -
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ................ -----------I............. Motors ------------- - ----I'
0C Ed &SPECTOR _7Z ATE LL
Final S
W DATE INSPECTOR