2843 L e-)
NO. BEET LOT NO.
N Q
x oD I R ELECTRICAL PERMIT
0 a C 'Ij'lj"gOF CUPERTINO
w LL !AUG 271964
_ ° b'
Date 195— Permit No. /
N Application CITis O�hereby made to theCityof Cupertino for a permit toinstall electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j �. wiring and/or fixtures in accordanre with the provisions of the Ele `cal Code of the
00
5 N City of Cupertino, pd—all other laws applicable t ereto. „
z _j Use of Premises
� Owner �{ Address
wZ By X 299J. I� i�Q �i.�.+.(U{Address /
0 O / CONT4AC`TOR, AGENT Approved
-U Phone: `�Q �_n/`�n �ELECMCAL APECM2
State LicenseQ ^�-''r )
NEW- RPL FEES
Size Service-Conduit----------------------Number of Outlets---_--...-_..... . 0-
Size Service Wires--------------------------Number of Switches---------------- ----p
-- - ---- -----•'50
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........................Signs---------- Transformers------ ---------- -----
--------------
Misc--------------------_-------------------------Dryers......................... -------------------- --------------
Motors-------------------- HP-------------------- Phase--------------------
Motors......... HP.................... Phase---- -------------- Permit Fee $1.00
Motors--------------- HP------ ------------- Phase........... ------- H P Charge-------------- ----------
ATOTAL FEES I ....
Pff—OF INSPECTION APPROVALS
Rough Wiri ----------- Fixtures ------------- ------- --- -- --- ----- -----
DAT INSPECTOR DATE INSPECTOR
FinishWiring ................ ------------------------ Motors ------------- ---------- ----------------------------
DATE INSPECTOR DATE INSPECTOR------....-_.............Final ........... ............. ------ ------------------
I DATE INSPECTOR