2538 N°. ST�REE LOT NO.
t o �AP•PL�IC`ATIO11 ,FOR ELECTRICAL PERMIT
o a ® OI� OF CUPERTIP70
3 !DEC ,9 1963
Date go_ .—^^ , 194�a Permit. No. 13
� _
> .
Gl7Y ur urtn Fee ��:S G
i 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
j 4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
o0
City of Cupertino, and all other laws applicable thereto.
Use of Premises •
�dA,4 7" Zcd,4,--�
J 0 0
3 a Owner - M. �' Address
W w By AF/_ iN Aq 8LF42RtG _ Address Tf " �✓SGRk iPJ.
OCONTRACTOR, AGENT Approved
—l) Phone: /ELECTRICAL INSPEC701
..i% State License:— ��
NEW R9L FEES
Size Service Conduit4277-3-----4-----Number of Outlets._......_.__-- .. ......
Al-- ;L6
Size Service WiresJE:7�4W�.—I.Number of Switches--------- )-- ---------- ---------- 1- ------
---
Size Service Switch.6049-ArAP.Number of Receptacles_........_ �?A.- ---------- 0
Size Sub Feed Conduit..'/.'..L...-Number of Fixtures------------------ ---------- ---------- --------------
Size Sub Feed Wires-O—z-4---------Ranges----/.2..... KW.....-------- --01 ------- YX- - ----
Number of Circuits----7-Zr---- Oven -------------- KW-------------- --
------- ---------- --- ----------
Number of Meters---t-3..............Signs.......... Transformers__.... ..-------- ---------- --------------
Misc---------- -------------------------------------Dryers--------------................ . ----- ---------- ---------- --------------
Motors---q-k........ HP-------------------- Phase-------------------- Permit Fee $1.00
Motors...4............. HP....7,:r------- Phase--------------------
Motors-------------------- HP-------------------- Phase ------------ Ff P Charge----------- j�
TOTAL FEES-
OF INSPECTION APPROVALS
Rough Xvi, ------ Fixtures . ... .L
-/ T. ----------- - --
�j INSPECTOR INSPECTOR
Finish Wiring ---------------- ------------ - Motors .. ........................
DATE INSPECTOR ECTOR
f ....................
f............
TFinal INSPECTOR