2770 io0� I ��- . � leez -
NO. • STREET LOT NO. �'?
r a ab OR ELECTRICAL PERMIT
o D OF CUPERTINO
3 4 +S► ' MAY 2 �p
o �7d
Date ' 195— Permit No. �,
CITY OF CUPERTINO Fee /� •i�
<m Application Is hereby made to the City of Cupertino fora permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
LL wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 0 City of Cupertino, and all other laws applicable thereto.
`0a ' �
z Use of Premises r�qr �
2 0
3 a Ownmd;59� y ��-f'l Address
— 0 HEATH ELECTRIC
w w By p s^X Gag _ Address.
0 LOS G6dP5c,✓lA'blE,Olt6�NT
a o Approved
—U phone: Aim ELECFUCA1 INSPECIOI
State License: Phone ELgato 6.4422
NEW RPL FEES
Size Service Conclu�,I__I/_4:�-------Number of Outlets------------------zm� ........ ...... .. ....
Size Service Wires---1-7P...........Numbqr of Switches................ ..w-- -------- ---------
Size Service Switc -------------------,.5?.-_._
Number of Receptacles-----:_----- ---------- ---- ---- --------------
Size Sub Feed Condu it..................Number of Fixtures...... -.�a7-----------
Size Sub Feed Wires----------_-------Ranges........ KW....._....... --------- ---------- --------------
Number of Circuits................... Oven ---- KW....------.. ._...---- ---------
. .............
Number of Meters--./.................Signs.......... ppfners ... .... --- /
TransV e- s '?
Misc--- may --- Dryers --- ---- - --- ----- -- - -- --- -- ----- - ----*- ------
- ----- ----- --
Motors._= -------------- HIP-^,. ..__, Phase._____.._._.'
Motors-------------------- HP-------------------- Phase-------- ---- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase.................... H P Charge---...... ....- e.0
TOTAL
FEES -
RECORD OF INSPECTION APPROVALS 0
Rough Wiring---------------- ----------------------_---- Fixtures ---------------------- --- -- ----
DATE INSPECTO. J1111hk DATE L------
.-C T -
Finish Wiring ................ --------------- .... Motors4-----------
DATE IKSIKCT I
Final -------P� -----------------------
on T DATE ----- --- ......