2705 NO. sTREE7or LOT NO.
" 0 R
E O ELECTRICAL PERMIT
o CI � IF CUPERTINO
a J APR 2 7 1964
W 0 ` �j
o Date 19j;kf! Permit No. �`Zo
F ERT'�''^. Fee $ O .-
a an 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
4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises
J Z
O
3 `a Owner Address'
— N
By _ Address
02 CONTRACTOR, AGENT PP A roved/
OBJ f/
—U Phone�P %Yy�� fltflCZBlut INS►flCTOi �
:`tate License:
�J
NEW RPL FEES
Size Service Conduit.;;-.0....<f—.Number of Outlets................. . ......... ....
Size Service Wires be'r of Switches.................. ...... ... . ... ..............
.
Size Service Switch...?dPe�umber of Receptacles............ ..._--_77.vzp—J.'i ..............
Size Sub Feed Conduit..................Number of Fixtures.................. ..I �179 ....i��10
Size Sub Feed Wires...................Ranges...../........ KW.............. .... ... .......... ....
02
Number of Circuits--................. Oven ../.....--- KW.............: .......... ..........
..............
Number of Meters...../................Signs.......... Transformers........ .......... ..........
Misc.............. . .........ii Dryers......../........................... .......... .......... ..............
Motors........4..... . Phase.................... Permit Fee $1.00
Motors.................... HP.................... Phase.............. .....
Motors.................... HP—----------------- Phase.................... HP Charge........----
. ....... ...
TOTAL
COR
,P,OF INSPECTION APPROVALS
..........
Rough Wiring'.- Fixtures ..................... ----------------------------
DATE MAPS TOR
Rough I Motors L7FirauishWiiri'ng ................ ..................... ......... .......
DATE INSPECTOR ................... ........... ........
Final . .
.......
DAYS INSPECTOR
NOTI CHARGE`
CITY OF CUPER
l"N2 ACR ICE
Date --- J.... . X .19'�� Permit No. cR �7,q
19 ... ................
... ... ............. ...;0PST
To ... ......
AddressA/..... --- -----.............. ................................
Reason ----- ....... . cN .......... ... ..... .. . ......................:1- ..................
......................................... .............I......................................... ...... . .... ............................
-----------......... .. ... ..... ... .... ..... ....................
Amount$ ......... Signed ........
106 3/59-3011