2273J7
LOT NO.
APR IAC .' ION—,FOR ELECTRICAL PERMIT
OF CUPERTINO
1(JUL 29 1963 I Y
a 3
Date 7/�� 1,W/3 Permit No.
CITY OF CUPERTINO Fee ��
Application is hereby made to the City of Cupertino for a permit to Inst l electrical
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
City of Cupertino, and all other.laws applicable thereto.
Use of Premise 6C-5--
Owner
C S'
Owner /7- (T//t ni [.i G.
sy 15G)9e LSL r�
CONTRACTOR, AGENT
Phone: ZSL S"—S-0 /
Address
Address
Approved
(GECTRIUL INSPECi01t �!t
Size Service Conduit ---L?.y....._..Number
I /
of Outlets ................_
Size Service Wires ......--�r1
7 -----------
Numb& of Switches....
Size Service Switch ------
l. ------_..Number
of Receptacles..._.......
Size Sub Feed Conduit
Number of Fixtures ..................
Size Sub Feed Wires
....................Ranges......(.......
KW ..............
Number of Circuits------------------
Oven ............. KW --------------
Number of Meters
SiB ns Transformers
NEW RPL FEES
Z 3 Z, 0
__- -- --------- - ......
3N 3✓°
..._..............------- --
Misc---------------------Dryers-----�------�--t-----....."----------------I-------.......!.7
Motors-----------` --- HP------.-�Y...... Phase --- / --- Y-------- Permit Fee $1.00
Motors ......._........... HP ----------------- Phase -------------------- w
Motors ------------------- HP ....................Phase ............ H P Charge------------- I le.
TOTAL FEES A
Rough Fixtures
DATFINSPECTOR
Finish Wiring ................ I ........
.......ITOR----otors
. DATE INSPECTOR
DATE - - INSPECTOR