1251FYI C—
NO. 5TREET LOT NO.
"#� A PLICATION FOR ELECTRICAL PERMIT
' CITY OF CUPERTINO
a ,
Date 1195— Permit No. t Z -$; ' 1
Fee SI Q
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.
u Use of PremicPc CZ 2'CVC�/,,fl(J�4�' OoITAP
VuQ QQQ /
:a Owner �' \ � t !' - � �"`� Address
By IzTG
CONQTAACTO
—/Pyonc
1Z'I
Address
Approved
ELECTRICAL INSPECTOR
AN „ sPL ^PEES. =� .+ t ,�
Size Service Conduit......................Number
of
'Outlets ...... ......,.._._
Size Service Wires.......... ...........�D
-,
iumber of
Switches ---------------
-..........;'.�"
..
Jo _
Size Service Switch ------ ...---------------
Number of
Receptacles.........;:`
.......:..;�i.",4"...•.....
n
Size Sub Feed Conduit ..................Number
of Fixtures ..............
`* I�
Size Sub Feed Wires ....................
Ranges ----------------
KW------------ :.
.......... ..........
+....`.......
Number of Circuits ........ (..........
Oven-------------
KW --------------
---------- ------
Number of Meters ............
Misc:......._CXg c V.. ..... -
. Si ns..........
�s '--
Tra%formers--------
,.h�.1----
.------..----------
.........-----
Motors ................_.. HP --------------------
Motors............._..... HP......._...........
Phase .-----------.....
Phase---.--------------
--------- --------------------
---------Motors'
Permit Fee $1.00
Motors .................... HP --------------------
Phase-------------------
H P Charge ...------------ --- - -'- .
TOTAL FEES
_RECORD .OF INSPECTION-APPROVALS7— - — -
• Ruugh.Wirin a.._:._'.:a. P -
\DAT[
-'
r�
INSPECTOR /t
,T,
Futures �.--.-------_.
DATE INSPECT� R;
Finish Wiring ..."'....""--...................
�
GATE
I
'(Motors
INSPECTOR'IN
.........---....------ •( 7_
_ 1
p
PECTGR•1
Finall.:./_-�_�-�II
_
'
_„ DATE _ ` INSPECTOR