1640 Cr, �
NO. STREET OT O
g 9 VIATMI
FOR ELECTRICAL PERMIT
F CUPERTINO
SEP 13 1962 o•/6
Date 95— Permit No.
ApAtTlyn ere 4N0ty 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, an laws applicable t — to. ^
Use of Premi �—^�—
v
;j Owner Address
By P/Ll�" Address*X CONTRACTOR, AGENT Approved,Phone: X- `. . -1 i '06* ,. �,E C1 -L $E4.
—�--
NEW RPL FEES
Size..itrvice,Conduit......................Number of Outlets------------------ ----------
Size Service Wires.........................Nyimber of Switches--------:------- ---------- .
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--------L......... .-.------- -------------
Misc.....-------_.............................. Dryers_....................-......----..... .....----- -------- ._...--------
Motors-------------------- HP-------------------- Phase....................
Motors.........---....... HP.................... Phase Permit Fee $1.00
Motors.................... HP.................... Phase-------------------- H P Cbarge-------------- -------------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring ------------------------- Fixtures ...................... ----------------------
DAT[ INIP[DTDR DATE INSPECTOR
Finish Wiring ..........
- -----I......................... Motors ---------- .. I....----
-.. DATE INSPECTOR C� T OR
Final ...1. .�-/.. .. ......:`--.......---
01T[ INSPECTOR