2760 NO. I STREET LOT NO. vt&: �.
N Q
r o I R ELECTRICAL PERMIT
o a D C OF CUPERTINO
34 MAY 22 196¢. "�}
LLo Date MAY 2 0196 ,/1�s— Permit No.
° ` CITY OF gUP§RTiNn Fee /� as
< App [cation is ere y ma a 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
00
> w City of Cupertino, and all other Imes applicable thereto.
03
O 6.
z J Use of Premises
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J ° ca'i� ��
3 i Owner , ���' � � Addres
— N
w z BY P. O. BOX 635 _ Address
aco C
nr A
< o APProve
—U Phonc: ELECTRICAL INSPECTM
State LicensPhone E
Lgato 6.4422
NEC KPL FEES
Size Service Conclu4P-P&/,/V........Number of Outlets... -------- - - ------- ......... ....
.9 /-
Size Service Wires.-:!7:-.-,--'e2----------Number of Switches..-------------- .140
--- ---------- ----------
Size Service Switch---/--�44-.Number of Receptacles------------ ---
--- --------- --------------
Size Sub Feed Conduit._...............Number of Fixtures._.............. . �, - ---------- ----/
G od
Size Sub Feed Wires----..............Ranges----/-------- KW_---------- --------- -........ ..............
Number of Circuits................... Oven I-------- KW._........... ...------ ----------
Number of Meters....... -------------Signs---------- T truer ---- ----- ---- ---------�
Misc- ------- Dryers......!�--wxcl� — ��K ------ ---------- ------------
:-V--- ------- ------ --------- -- -- - -- ........
Motors------- --------- HP. Phase._------------------
Motors-------------------- HP................. . Phase----------------
Motors
------ - ---------- Permit Fee $1.00
Motors-------------------- HP..... ------------ Phase------------- .... H P Charge--- --------
TOTAL FEES
OF IN VALS
ON APPR
P
Rough Wiring 6 _V1. 0! Fixtures ------ LECTOR, -------
Finish Wiring ............ Moto ----------
DATf
Final ----------------- ------ ---------------------
DAT[ t"SIECTOR