2607 fie= '
NO. STREET LOT NO.
r o �'i ` 1 ELECTRICAL PERMIT
o Cl CUPERTINo
5� FEB 25 1964
W LL 66
nDate �95 Permit No.
° a CITY OF CUP .' "i Fee $ 3 e)
< Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
F 3 City of Cupertino, and all other laws applicable thereto.
oa
z _j Use of Premises
O
3 < i Owner ��/"L �+� Address
N \
W W By - � �/' _ Address
a CONI%A OR, A . T
0 A roved v '
—U Phone: 29?i - 7 S 5 pp ELECTRICAL nesreeTOX \
State License:
NEW EEL FEES
Size Service Conduit----------------------Numbet—DIS—O&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----------.._...-- Ovcn -------------- KW----------- ------- --- ------ --_----------
Number of Meters------------------------Signs---------- Transformers-----.-- --------- ---------- --------------
Misc----------------------__ - _----------------Dryers---------------------- ------------- ------ ----- ----- --------
Motors.------------ HP._.------------- Phase----------------
Motors------ ------------- HP------------------ Phase-------- ---------- Permit Fee $1.00
Motors--------------------)HP--------- -- ------ Phase...... - -------- H P Charge---.---------- ----
-
--------- --
TOTAL FE C=V
RECORD OF INSPECTION APPROVALS
Rough Wiring---------------- -------------------- ------ Fixtures ----- ---------------------
DATE
--------------- -------
DATE INSPECTOR DAT[
_61 K1,11T11
Finish Wiring ---------------- .............. --- motors ......
T TO.
DATE TOR
Fina��#ia/T
C INSPECTOR