2642NO. STREET[/ LOT NO.
ELECTRICAL PERMIT
'S ItrIAR 1919!?4ki CUPERTINO
Date I Permit No.
CITY UK/ Fee S ao
Application is hereby made to the City of Cupertino for a permit Eo 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.
Use of Premi«<
Ow
By
Pho
Address 9
i
RPL
Size Service Conduit........ --.._.......Number
of Outlets-. .............._
//y
L.................L..l.--.--
ya
Size Service Wires ..................._....Number
of Switches._.._......._
..._..............�?.e
20
Size Service Switch------------------------
Number of Receptacles ........-..............I_a
Size Sub Feed Conduit............._...Number
of Fixtures ------------------
...
�
'"
1 90
Size Sub Feed Wires ....................
Ranges ........ J---- KW------------
--/---
----------
-------
Number of Circuits-------------------
Oven ------ l..... KW-------------
--/----
----------
----- �L�
Number of Meters ------------------------ Signs ---------- Transformers -------- .....---------------
Misc------_......-----------------------------_ Dryers --------/-------------.- ------ --1 --- -------- ----.
Motors --.=,_, --'-.-- HP --...-'--------. Phase ----.------------- Permit Fee $1.00
Motors -----------.._.... HP -------------------- Phase �yG
Motors ---------------- HP --------------- Phase ---------------._ H P Charge-.._........--I----.1�1
j TOTAL FEES
COR OF INSPECTION APPROV
Rough Winn ............ Fixtures ......
o c ixsrccroc
Finish Wirin !.....__....... -----.. ...Motors _........
ORS INSPECTOR
Final
INSSSCTOS