248302 a 16 I Cb2-vc-o _
NO. STREET LOT NO.
L CZ&
Tj1,0N 1,0NjFOR ELECTRICAL PERMIT
CIF CUPHRT]NO
OV 16 1963
Date '95—Permit No.
CITY OF CUPER?'� Ffe S '-2 - 0
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 accordan(e with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises
Owner
By
col
'<Phone-
XState Licenst9L
Approved M)
ELECMCAL INSPEC[C1
NEW RPL
Size Service Conduit ----------------------
Misc
Number of ---- ----
Size Service Wires. ---------------------Number
Size Service Switch ......................_Number
des...._------
les------------
Size Sub Feed Conduit ..................Number
Size
of s..................
------------------
Size Sub Feed Wires ...................Ranges................
Size
---------------- KW --------------
Number of Circuits_--------------_
Oven -------------- KW --------------
Number of Meters ........................Signs..........
Transformers........
ransformers--------
Misc---------- - ----------------------------------- Dryers -------------------------------- ------ I ---------- I .......... --------------
Motors ------------- ------ HP --------------- --- Phase -------------------- Permit Fee $i.00
Motors--------------- .... HP -------------------- Phase --------------------
Motors -------------------- HP -------------------- Phase .... F P'MXw*, --------
4
EES Oct
RECORD OF INSPECTION APPROVALS
Rough Wiring ................ ---------------------------- Fixtures .......
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ---------------- --------- -------- --- Motors
DATE I.SFECT0. T4 INS EcroR
Final
D X