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D O. S'CREET 107 NO. '
.61
A aV
1' & 11� _ R ELECTRICAL PERMIT
o a DEC 10 1963"r CUPERTINO
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` Date O n I r.r n— + 19e S Permit No.
L:a it i I ur ��, Fee $ 296-0
a 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
a wiring and/or fixtures in accordan(e with the provisions of the Electrical Code of the
o m City of Cupertino, and all other laws applicable thereto.
zUse of Premises Pr /jL �r
J z
J O
3 a
owner V-41-1-'w Address
— N
wzgyjli/ r9vAAddress >s, dEirS CRk Ra•
ao CONTRACTOR, AGENT Approve
_U Phone: P N R'/C/ 3 S ELHCTRICAL nisPH ,
Od State License; 30
NEW, EFL FEES
Size Service Conduit. ..#.5'..........Number of Outlets.................. if(..q.. .......... ....6,?ro
h4f-
Size Service Wiresl..-.fNM5i ...Number of Switches................ ..8-0 0
....... .....I.... ..............
Size Service Switch.AtiI.A.ArP..Number of Receptacles............ . .......... '()
Size Sub Feed Conduit.1.7 .......Number of Fixtures.................. .......... .......... ..............
Size Sub Feed Wire&Al......Ranges...�....... KW............. .......... .......... ...4:�o
Number of Circuits................... Oven .............. KW.............. .......... ........ ..............
Number of Meters...-----------------Signs.......... Transformers........ .......... .......... ..............
Misc...... .........................................Dryers............... ........................ .......... .......... ..............
Motors../.0........... HPFhAt2tAmAI.Phase"'
Motors..q.�........... HPI.SAMj�!. Phase...../..Qr. ......" ....... Permit Fee $1.00
Motors.....................HP.................... Phase.................... H P Charge................
TOTAL FEES4a.G
RECORD OF INSPECTION APPROVALS
RoughWiring..... ......... ............................ Fixtures ...................... ............................
DATE INSPECTOR DATE INSPECTOR
FinishWiring ..............- ---............................................ Motors ........................ ............................
DATE INSPECTOR DATE INSPECTOR
Final .......................... ............................
I; DAYS INSPECTOR
Multi-House Electrical Inspection Card
Electrical Permit No. ....................................
APT. ROUGH FINISH
NO. WIRING WIRING FIXTURES FINAL
1.
2.
3.
44.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
?.S.
1.
20.
21.
22.
23. a c S G
24.
25.
119 7/63.500