2272 NO. TT p LOT NO.
AP ON FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
U�:h 71963 3. , )�
Date 1Permit No.
T.
Fee S o49 36
Ap'pli�ationjis IL41 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.
N
v Use of Premiseq COMM M F 01 t? C
c
V �t
Owner BANK n' t-t6rtEr2tCA Address
ro By OwooEFPTii✓o Zc.--fT,eiC Address 119 0/- 1�
CONTRACTOR, AGENTi/ -L
Approved
Phone: "ICAL IMPS roa
NEW RPL FEES
Size Service Conduit--3.. ----..Number of Outlets--11-_-�-------- ---------- ---
Size Service Wires ----------Number of Switches... ------- ---------- - -------- --------------
,� 'A.4-r3 - c
Size Service Switch-S-- -----AlPrO.-Number of Receptacles Vo
----- ---------- -- - ----- --------------
Size Sub Feed Conduit--I_ ----------- ---------- ---------- ----I..... ...
-- --'.-....---Number of Fixtures-.:�7 9. 16
Size Sub Feed Wires.../-----..........Ranges---------------- KW------------ ---------- -------- -------------
Number of Circuits----! ..3...... Oven -------------- KW-:------------ ---------- ---------- --------------
Number of Meters......j---------------Signs---------- Transformers........ ...._---- ---------- ------------ -
MI'SC.--- . . ----------I ---- - -Dryers ------------ -- --- -------- ------- -- --------------
----2�-------------- Y, - - P i ��b
Motors- ....--- HP--- P------------ Phase------------------ '
Motors---/.............. HP-Z-5--------- Phase---:`-------------- A b-0 Permit Fee $1.00
Motors-------------------- HP-------------------- Phase-------------------- H P Charge----- -- ----- ?,-6'-0-
TOTAL FEES 30
ON AP VA S-
Rp �2
h Wiring-------------- - --------------- --------- Fixtures !P... -- . . --- - T. P.
OAT INSPECTOR DA E .3 ECT.*
�3 It-
.g 17,
Finish Wirirr /.I.Z.. ....1_ Motors --- -------- ...
D ^Tt
'7 Final ......
---- --------------- -
TE OR
- --- ---- ---- ----------------------------
Av
I% DA 9 INSPECTOR