2596 %5T `
NO. ST �' LOT NO.
APPLICATIOJJJI�__���,���n��TTTF���OR ELECTRICAL PERMIT
FEB 181964 C� OF CUPERTINO
Dat�T� RT-'N1rj , 195_ Permit No. 62 S/
Fee 5 /0,�o
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
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
J, Use of Premises -�'�L/!%L'G%�'�'�`
Owner T£/ AddressV .
By fL1 Address / /7
v � IWZ� '�� - Approved
Phone: 000 ELECTRICAL INSPECrW
Nim/ RP=. FEES
Size Service Conduit.............._..__Number of Outlets------------------ V.C- ----..._- --;2, ..o
Size Service Wires-------------------------- of Switches..........------ -/a-- ---------- --le.!7 o
Size Service Switch-..._------__........Number of Receptacles------------ .L/0.. ---------- -A-0.0
Size Sub Feed Conduit...._._.....-...Number of Fixtures............._... .T// ......---- --q,A
Size Sub Feed Wires_.................Ranges.....--------- KW..... --- ----�---� ---------- *--------....
Number of Circuits................... Oven -------------- KW------------ --------- ---------- ------------
Number of Meters------------------------Signs.......... Transformers...----- .--------- ---------- ----.......:.
Misc.------------r---------------------------Dryers.........---------------------------- ------- --------- --------------
Motors.................... HP------------------ Phase-------------------- Permit Fee $1.00
Motors--------_-------- HP-------------------- Phase----------------- .J�
Motors------�'--'-------- HP. -------- Phase-----/-----------_ H P Charge--------------- --------��----
. b o c-- TOTAL FEES 30
c-�`� CORD OF INSPECFION APPROVALS
r� R u h Wirin .......I-- .-.-0-------- Fixtures ------AT.9_------ . . . .....--
DAreINsrmroR ogre - IxvccroR
Finish Wiring ...-........... ------------------------. Motors ------------- -------- . -------
_OATE INSPECTOR DATE -INSPECTOR
Final ......................`.. --------------------------.
DATE INSPECTOR