2641NO.
LOT NO.
�I ELECTRICAL PERMIT
CIT F CUPERTINO
7A !R 191964 //
Dat Permit No.
CITY 0 C ERT�j�� Fee spa , 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 accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
aI Use of Premi
v
;a Own Address
:a By Address �.
CONTRACTOR, AGENT
Approved
Phone: In ELECTRICAL IMPFC1
Size Service
of Oudets ------------------
Size Service Wires....? ........Number of Switches..._...........
Size
witches----------------
Size Service Switch..,lC!d� ---- Number of Receptacles............
Size
eceptacles------------
Size Sub Feed Conduit.......`. -......Number — of Fixtures ..................
Size Sub Feed Wires... -----..'.........Ranges.........--- KW --------------
Number of Circuits.-.------- .. Oven -----/.-- KW --------------
NEW RPL
.
Number
.........
TO
......
.
..........
.. Z&F" d
Sod
-- --
tl
A
----------
----------
--- -
1100
----
-
-------
---
.......
----------
-------
--
------`-v
------------
Number of Meters ........................Signs-------- Transformers -------- 1 ---------I----------
--------I---------- ----- -------
Misc --------- - e.ryers ----------- -----------F--J'..7
---------- H P Phase--/ ___.
Motors...... .... Permit Fee $t.00
Motors-------------------- HP -------------------- Phase ------------- - ----
Motors ..................- HP HP -------------------- Phase -------------------- H P Charge ------.............I... .
k TOTAL FEES— 1,
Rough Wiring
Finish Wiring' ....... I. *,-*
DATE "IETI
INSPECTION APP
R
OVAILS
......... Fixtures --------------
----- -
tAX - I-N-SP--E-C--T-.-.
..... Motors ... --- ------R--
------------
-
OR KSPECT R
FinIi -
------------------
OAl IKSPZCTO