2698 /o '--�.l I pkv
NO. STREET LOT NO.
r a PNiOR ELECTRICAL PERMIT
o a ® C1 E CUPERTlt4O
SV
LLAPR 24 1964
� G
LL w Date JUL �p�p 195_ Permit No.
Pp1h� o Hh F/y�4f ERT jir y P permit
53.6v
A t n ere a o the'Cit of Cupertino for to Install electrical
w i 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
00
City of Cupertino, and all of r laws applicab to.
`o a L�
z Use of ises
Jo
3 � Owne — Address
— N
W w By_ Addre
OO�� CONTRACTOR, AGENT Approved
—0 Phone:CA4r 9" ELECTRICAL INSPECTOR
q, Siate License:o?dsd 7S _
U
` - NEW RPL FEES
Size Service Conduit......................Number.4 Ou[Iets--.---.------- ------- -------- -------- ----
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.............------...Signs.......... Transformers.-.---- -------- --.._---
Misc.............----......_----------------.._Dryers.........-------------------------- ----- --- --------- -------------
Motors-------------------- HP-------------------- Phase..------------ Permit Fee $1.00
Mot ---------------- HP-------------------- Phase.......... .........
--------- Phase.................... H P Charge................ " CttJ
�� TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring-------------- ------------------------ Fixtures -------.............-1---....--------- ------
OAT[ INSPECTOR 0.1T[ 1 l"CTO!
Finish Wiring ...............�--------------------.- Motors -- .--- ---- . .. ..
DATE INSPECTOR ! �![[C�=
Final ..... ......- ,..`...--................
D1TI I.SPECTOR