2715 22154 .. Riverside Dr $6 Plan 200
NO. - �11
- LOT NO.
N <
x g A PFOR ELECTRICAL PERMIT
3 < APR 2 7 1964 of cuPExTlrao
I)R 21
wLL -71 -5
LL ° 6eTX ( 1 tnt to 795— Permit No. 62 7
> r
Fee SId
<N Application is hereby made to the City of Cupertino for a permit to install electrical
* I 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
> City of Cupertino, and all other laws applicable thereto.
� 3
O
_j Use of Premises residence
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o
3Q Owner Deep Cliffe Dev. Co. Address510 So. Mathilda Ave. ,
— Z Sunnyvale
H. G. W�•�'IJ�RER Address
W w By 1r. Nun
o I 9e0ONTRACfOa, AQ EN7 NIA
G
< O SUNNYVAL'-, Ci+LlrunApproved _
_ U Phone: R:.n...r- 730.5421 Aft ELECTRICAL INSPECTOR
State License; 12422
NEW RPL, FEES
Size Service Conduit.- )--------------Number of Outlets-----.__--------
- S.-. ----..---- ._...-.. .--.
Size Service Wires....- ----------..Number of Switches..--------------- -2.,�_-.--- ---------- _A _
�t� : u.
Size Service Switch- --.----Number of Receptacles....-----... 3k ----.--_- _---_.------
Size Sub Feed Conduit.
/Y_%fin-Number of Fixtures..------_--_-_- -::S. -.------_ S�
Size Sub Feed Wired't-r'''//�ioRanges..-.-.-.�-'--- KW--------...- ....L.... -------- ---
Number of Circuits-------�4..... Oven ......I.._-- KW-------------- ---
/.... ---------- ------
Number of Meters------/..............Signs.......... Transformers--.---.. ---------- - 1 C1
--
Mise............ ...._------'---7 Dryers....)--------------------------- -�----- ------- -----2
Motors...... '---------- HP HP. J.'4.......... Phase-------.----------- Permit Fee $.1.00
Motors-------------------- HP.................... Phase-------------.._---
Motors----------_------- HP-------------------- Phase------------------ H P Charge......
..'------- --��-
TOTAL FEES ��SS
ECO OF INSPECTION APPROVALS
Rough iTin � J �/..`---- Fixtures ------------------- --------.._-
DATE IMSR[CTOR DATE INSPECTOR
Finish Wiring ................ ..........._....... Motors ------------- .-........
------
DATE INSPECTOR DATS4
Final ��--.la-----{�'I---I .................
DATE INSPECTOR