2488 _11272 TArra Rally _
NO. STREET' LOT NO.
r o Tlf"INOV
PPL ION OR ELECTRICAL PERMIT
0 '
19 196 ' cuPFxrlrio
U
W' o4
Permit
Date No.ao tlTUC � iu� Fee tiY. �.
S
a m Application is hereby made to the City of Cupertino for a permit to install electrical
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
.ai 4 wiring and/or fixtures in accordame with the provisions of the Electrical Code of the
00
> a City of Cupertino, and all other laws applicable thereto.
03
zJ Use of Premises residence (swimming pool wiring)
= O Clarence S. Johnson as above
3 < Owner Address
— " H. G. WANDERER
w w By — _ Address CS
i o o9� :CTO�I:?o�!yTdl& Approved
—0 Phone: PH . — 336-5-121 ELECMCAL INSFECTUS
'/ State License:
NEW RPL FEES
Size Service Conduit._...................Number of Outlets------------------ -----1-. - -------- --------- ----
Size Service Wires.._.................._..Number of Switches..........._... ----- .......... ....1 .00..........
Size Service Switch........................Number of Receptacles............ .......... _..._..-...-
Size Sub Feed Conduit------------------Number of Fixtures.................. .....)---- ---------
Size Sub Feed Wires--------------------Ranges---------------- KW........----- ---------- ------- -------------
Numberof Circuits................... Oven ..--------- KW-------------- .------- -- ----- -------------
Number of Meters-------.................Signs.......... Transformers-------- ........_ ---------- --..._-------
Misc._-------------------------------------Dryers..-------------�--------------------- ---------- ---------- -------------
Motors......)------------- HP....3/4......... Phase---------------
Motors.................... HP.................... Phase.. Permit Fee $1.00
Motors------------------ HP.................... Phase.---------------- HP Charge---------------I......TOTAL
FEES 3.75
ION APPROVAL
Rough Wiring.------------�..................---.._. Fixtures --- ------- -----�-i. ...
DAT[ Ixsr[cro• o1T Finish Wiring ................ ................ ... MotorsJ .. .C1TC IMf�[CTOR Final ..... „�.... .... In
OAT CT011