2041 (2) ��/ low •L1�NO. STAaEROBT � �1i.E LyCO
LOS NO.
PM ELECTRICAL PERMIT
'16CUPERTINO
IIMAY 241968
Date (� T '�pFR 195— Permit No.
PP c' l Y QTe yq'�de t8 Je'PF� P P
Fee $ �uD
A li n is h eb a it of Cupertino for ermit`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 lawValicab thereto.
Use o5 Piemi
i c
a Owner �c Address
By
Address . _
N CONTRACTOR, AGENT
Approved
hone: � ELEClR[GL [NSPBC[Ol
r u
NEW RPL FEES
Size Service Conduit......................Number of Outlets.................. .... .. .......... .. .. Op
Size Service Wires..........................Number of Switches................ ...v.. .......... ............_.
Size Service Switch.......................Number of Receptacles............ .......... .......... ..............
Size Sub Feed Conduit..................Number of Fixtures.................. .......... .......... ..............
SizeSub Feed Wires...................Ranges................ KW.............. .......... .......... ..............
Numberof Circuits................... ,Oven .............. KW.............. .......... .......... ..............
Number of Meters........................Signs.......... Transformers........ .......... .......... .............:IS
Misc................................................Dryers......................_................. .......... ........_. ..............
Motors.................... HP.................... Phase.................... Perini[ Fee $1.00
Motors.................... HP.................... Phase...................
Motors.................... HP.................... Phase.................... HP Charge................
TOTAL FEES-
RECORD OF INSPECTION APPROVALS
RoughWiring................ ............................ Fixtures ...................... ..................I..........
UATC INSPECTOR.... OAT[ INS PCCTOR
DAYSINSP
FtntshWutng ..... ........... .
..... .............
DAYS xaPrcroR rx a
Final ... .. ._ ... .... ....... ...........
t Motors . .....DAYS INSPECTOR j