2706 NO. ' •' r STREET / - LOT NO.
A- 1fFOR ELECTRICAL PERMIT
3 u ® �APR 27 7964 R� OF CUPERTINO
W
i
, o W Date — - Q•� 19�6� Permit No. 7 _
O CITY L;U['LKI Fee 5
/5:�3s
<� Application is hereby made to the City of Cupertino for a permit to install electrical
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordanre with the provisions of the Electrical Code of the
S W City of Cupertino, and
�all
yother
Jaws applicable thereto.
z_j Use of Premises
J Z
J Q /
3 < Owner Address
N
W W By Address
CONTRACTOR, AGENT I �
ao ��� //� Approved`` /
I
—U Phone: ' 0 —�/�2 ELECTRICAL WSPEC7UR/
State License:�� ��y �'��
NEW RPL FEES
Size Service Conduit...0 -----Number of Outlets.........._...._ Z._Z. ------ ---------
Size Service Wires/Number of Switches......__._... .-2.;—, 2-2-e
--------- ---------- --- ------
Size Service Switch. 1`V .....-Number of Receptacles---------.-- N--5Z-.-j-3-5-v.
- ---- -- ------- - ------------
Size Sub Feed Conduit-----------------Number of Fixtures_......._------- -:. a, 2.:...7-1'..... .,/Lt.:/.o
Size Sub Feed Wires--------------------Ranges------ ------- KW-------------- ---------- ---------- --------------
Number of Circuits-.'-------------- Oven -------*..... KW------------ ---------- ---------- -
Number of Meters....Z................Signs.......... Transformers-------- ---------- ---------- -
Misc..............------------------------------Dryers....---..../.._--------------- -------- ---------- --------------
Motors...... ........... HP Phase--------------- Permit Fee $1.00
Motors-------- ---------- HP-------------------- Phase--------------------
Motors------- ............ HP-------------------- Phase..... ----------- H P Charge--------- ... �DO
TOTAL
harge---------
TOTAL FEES
.wCQR6 OF INSPECTION APPROVALS
Rough Wiringq
-------- Fixtures ------- -------------- ----------------- ----------
DAT- -- 11.......I-N-SP-E-C.T Motors DATE INSPECTOR-- --- -
Finish Wiring ------ -------
DATE Nf RE TOR
DA K INSPECTOR