2329 STREET LOT NO.
AP,PLICATIOW FOR. ELECTRICAL PERMIT
tlICITY OF`CUPLRTINO
1r
Date 195— Permit No. /
Pte $ ley-
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
y O wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premi ,q. -
Owner �i)i^�L A; C ori.aY�t Lc w Address 8iCX h4Pr�– C iA4Q.e t 16'v`-e'
°4sy ('1A D .L✓ -Q,v eX �' Address
N w•ONTRACIOR, AGENT Approved
4] Phone: 379- *2 0 ELECTRICAL INSPECTOR
L ,
NEW RPt_.-AN •�
!..
Size Service Conduit. :--- ..' N
1r----- um _ _ a
ber of Outlets........... ... ..�` . `��
I----..,:.I -
Size Service Wires..A.e+)----------------Number of.Switches................�"�... ..........
SD IS•
Size Service Switch.� .L
.- .00.....Number of Receptacles............ .......... .......... ........o0......
Size Sub Feed Conduit..................Number of Fixtures.................. ...y.. ..........'............
Size Sub Feed Wires--'................Ranges....:.1'�.."----- KW..2:.-?---- -- - ---------- .-/....w
Number of Circuits....�....... Oven --�------- KW...... ._Z_. .......... ..L.t... .
Number of Meters...':"...............Signs.......... Transformers........ .......... ......---- --------------
Misc.----...------------------------..._------Dr ers-----I---..,--. _. .....--------- ---t..... ...------. .....
Motors....�o------------- HPr�Phase.S+cr.�az. Permit Fee $1.00
Motors-------------------- HP.................... Phase--------------------
Motors------------------ HP. Phase......... --------- H P Charge---------------- --- t rp-
TOTAL FRES /g'��
�1 PECO OF INSPECTION APPROVALS
Rough Wiring.- --- ... .I... .....0------... Fixtures ....... .... .... ----------- -
----------
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ................ ........IN--............ Motors ........... ---------
DATEINSPECTOR DATEINSPECTOR
Final ..........................
............................
DATE INSPECTOR
�y Vi A W IJ 1i-+ . �. CCI . . . . W J
ymj � C
in v A y
ro
m
a x o
ai �.
Q
Q
c �
� A
aQ
r Q.