2468✓ io 17 I 5, fl1 ;2:1
NO. STREET LOT NO.
`/�fjpypPdAI ELECTRICAL PERMIT
OCT
IT (QE CUPE•RTINO
24196, C+� X/
Date a-1. --4, fie'". _ Uq >> Permit No. �V. 'J/1
MY Or �t. ��id�i Fee Sa. SV
Application is hereby made to the City of Cupertino for a permit to install electrical
f 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.
� I /
Use of Premi COe^')NIPi('r2r
c / /
a Owner —TUM lC li r4uE > Address
y By CU e, lectTrG NC Address 1040/-14 S.l
CONTRACTOR, AGENT
Approved
Phone: 252— Io 0 o ELECTRICAL INSPECr011
NEW RPL FEES
Size Service Conduit......................Number of Outlets------------------ ---------- ---------- - __-------
Size Service Wires-------------------------Number of Switches....------------ ---------- ----------I-- -----
---
Size Service Switch-----------------------Number of Receptacles.--.....--. --------- ---------- -----...-----
Size Sub Feed Conduit-------i .......Number of Fixtures------------------ ------- .. .......... ..............
Size Sub Feed Wires--------------------Ranges---------------- KW............. --------- ------....
Number of Circuits__............... Oven ---------•-- KW-----...... .- ---- -.-------- ..�.5�
Number of Meters........................Signs---/_. Transformers--------I--/
- ------------------------ - - .---- -----,--: ----------.:--
Misc................. --------------------------..Dryers ------- --- -- -------- -------- ------------
Motors.................... HP---------------- Phase----------------
Motors.................... HP...------------- Phase----------------- Permit Fee $1.00
Motors------------------- HP......-------------- Phase------------- HP Charge----------------
I---------
---
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring................ -------------------------- Fixtures .....4.�T --�------
osre INsrmroR insnttroe
Finish Wiring ----------9-----�--------I............... Moto -OSTE .. INSPECTOR ..... .. ixattroE