2221 �O 6o
NO. STREET LOT NO. 22
�P LI ATIO'N��F ELECTRICAL PERMIT
JUL 1. 9 19b`J . OE,CUPERTINO
Date ' V _ -- d9�. Permit No.
C I• uurttoomu Fee S ),2 Oro
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
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
a Use of Premise< Re
c
:7 Owner ^�+'���0.s. env. -42 Address a 6 o G— . A-o� .C
By N� or .i' t- Address / S
CONTRACTOR, AGENT
Approve
Phone: _l'��(7— �� ELECIIl 1 INSPECTOR
NEW RPL -FEES .-
Size Service Conduit....._...............Number of Outlets.... ............. . . .......... . !/I.......,9
.
9
Size Service Wires----------- --------------Nurnber of Switches------------- - ---------- -- --------
670
Size Service Switch........................Number of Recep tacles------------ --219- -----
---------- -- --- -
I . I
Size Sub Feed Conduit------------------Number of Fixtures------------------ --)-/- --- ---------- --
Size Sub Feed Wires-----------_------Ranges......)....... KW..........--- ----- -- ---------- ------ ------
Number of Circuits_......—........ Oven ..../..._.. KW.............. ..... . ......
Number of Meters.........---------------Signs---------- -Transformers-------- -
Misc---_--------- ------------------------------- -Dryers-----------).......................... .......... .....76.
Motors------ ------------ HP.... -- Phase.... - - .._..
Motors.......... .......- HP.................... Phase------------------ Permit Fee $1.007s-
,Motors--------------_---- HP------------ ------ Phase-------------------- H P Charge----- ---------
harge--------------- -------- ----
dz
TOTAL
'0 INSPECTION APPROV LS
Fixtures ..........
--------------
.RoughWiringA_/ 77 Z 91 --
OCT[' 1� .INSPECTOR
.... Motors - --------- -
Finish Wiring ... ....... ------ - -------------
DATE INSPECTOR
Final ........
DATE INSPECTOR