1994 - ELEC1
14
NO. 'STREET LOT NO.
#bOR ELECTRICAL PERMIT
APR 2 4 1963 OF CUPERTINO
(
`� � .
Date � � �+t++E %+- - •+�'—?`.1;,ilt Or ClIPMOV.r., 1�_ Permit No.
Fee $
Application is hereby made to the City of Cupertino for a permit to instA 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 Joemises
NSW
Size Service Conduit ---------------------- Number of Outlets _--_---___________
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 ...................
Oven -------------- KW --------------
Number of Meters ........................
Signs ---------- Transformers._..._..
Misc
D ers
RPL FEES
------------------------------------------------ rY ------
----------------------- i ---------- i ---------- i --------------
Motors ....... 1............ HP ...... 'f. ---- Phase ____!. _.......__. Permit Fee $1.00
Motors ......I ........... HP -----2 - ---------- Phase --- 1---
Motors ..----f HP ----y-3----------- Phase---�--- H P Charge ---------------- I--�jylJ �
TOTAL FEES i 6/41-)
Rough Wiring
Finish Wiring
... I -----------------------
INSPECTOR
ON APPROVALS
Fixtures---------------------- I----------------------------
DATEINSPECTOR
Motors ------------- ..........
I............................
DATEINSPECTOR
Final-------------------------- I•------------------•--------
DATE INSPECTOR