51167 ELECTRICAL11081 Bubb Road
No. STREET
LOT No. 2, Plan 1120
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
AM
i
n Ia 1 Y/ 1-3- TAF 68
,JAN 11 1968 V Fee 5 0) 3- -0
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring'r ufGt re�ctc�lilld8 reverse side hereof, and agrees to install said
wiring / re1akllIth the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises 1-fam. res.
Owner Di tz-Crane
By e' -
SUCONTRACTOR, (AGENT;; RNIA
Phonc: Pt:oi!2 7D5 ---X21 .
State License- /—d/za
Address Santa Clara, Ca.
Address
Approved' 1
ELECTRICAL INSPECT=
z
NEW RPL FEES
Size Service Conduit ----- 2i� ------------Number of Outlets-. ................ .. ZIA-.
Size Service Wires...... 4. �- ........ Number of Switches........._.... _2p3- -
.............
/-) Number
Size Service Switch ----P'V. ....... of Receptacles__....... .
17
/
Size Sub Feed Conduiti :._./'Number
umber of Fixtures.._.._.._......
------ - I .. ... ----------
�_V KW
Size Sub Feed Wiredk_4Ranges
............
Zw.
-7 -- --------- ........ ----- ...... --------
Number of Circuits------- - �R ----- Oven ---- ----- KW .............. .......... ..........
.......
Number ofea --- / ------------- Signs. --------- Transformers -------- --------- ----------
.............
Misc ------------- Dryers ......... / -
---------------------------- -- ---------- - ......
Yll
�Z. —
..... ........
Motors ---------- -------- Phase Permit Fee
$1.00
Motors.---......._------- HP----------------- Phase.........-.--._.
ST)
Motors ------------------ HP -------------------- Phase ... H P Charge.........
--
-,Z.
_)Z.
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring ................I------------------------- Fixtures -------------------
oar[ INsr[cro[ DATE INSPECTOR
Finish Wiring ......... Motors ------ --- ** - -- --- -------- --------------- --
DATE INSPECTOR AT. A!
1K3P1CT.
Ip
Final i
inal .......................... ....................
DATE INSPECTOR
NO. STREET LOT NO.
Y o ")APPLICATION FOR ELECTRICAL PERMIT
o CITY OF CUPERTINO
a u JAN 5 1968
W 4
I O
Date /
� p _n'q "C,
0r /. t n.. �''i�� �111 ����� F c e S
< Application is hereby made to the City of Cupertino for a permit to installelectrical
w
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S b City of Cupertino, an all other !aws applicable thereto.
Use of Premises /
J Z
J 0
3 < Owner Address
N
wz
By 2295 DE LA CRUZ BLVD_ Address
w w __
u s SANTdbrCAAR*, 1.1&l.+f ocn.rt
aU 2>�! -///o Appro
Phone: _ ELEcTR cAL INSPEMU400,
State License-
NEW RPL FEES
Size Service Conduit Number of Outlets
Size Service Wires Number of Switches
Size Service Switch Number of Receptacles
Size Sub Feed Conduit Number of Fixtures
Size Sub Feed Wires Ranges KW
Number of Circuits Oven KW
Number of Meters Panels Transformers
Signs
Misc. Dimers
Motors IIP Phase
Motors lip Phase
Motors RP Phase
Permit Fee 2.00
HP Charge
Total Fees