2635LOT NO.
ELECTRICAL PERMIT
CUPERTINO
s
Permit No.
Fee S qq
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 accorda with the provisions of the Electrical Code of the
City of Cupertino, and all ofr !aws applicable thereto.
Use of Premise
Owner
By
ONTAAM
i/
Phone:
State Licenser L
Size Service Conduit ------ /._/� - - ---- Number of Outlets_ - - -----
Size Service Wires........... ..... Number of Switches_......._.....
Size Service Switch....../01h "Number of Receptacles........-
Size
eceptacles---------
Size Sub Feed Conduit ------------------Number of
Size Sub Feed Wires ...................Ranges.........../---
KW........... ---
Number of Circuits ........ -----
Oven ----
....
KW.........._..
W --------------
Number of Meters ---------- ..........Signs..........
Number
Transformers........
Misc ............... ----------
Motors -------- -
ryers.. --------------
- Dryers....----------
--- - --------
Motors --------------- ---- HP --------
------- Phase ---------
--------
Motors.----------------_ ....................
--
Phase---------....---.---
HP Ch
Rough
Finish Wij ................
DATE
TOTAL
NEW RPL,
Pe=it Fee $1.00,
OF INSPECTION APPROVALS
--------- Fixtures - --- ----- ---
I - N - SP . EC . T - 0 . R ... f Motors AT I ^-------.........
C ...
INSPECTOR
Final------ -- ----- -- ............................
DAT[ INSPECTOR