2589 NO. AQ
� LOT NO.
VIFEB
/IfPPL`tC'A OR ELECTRICAL PERMIT
l3 9964
'OF CUPERTINO
Date'P ITP �yV� lA Permit No.
VII '' 1 V' Fce S5,0C)
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 accordance with the provisions of the Electrical Code of the
City of,Cupertino,
,aandall other laws applicable thereto.
Use of Premigp
c
'._vjOwner �✓-'�oA 42� Address
By Address
05 CONTRACTOR, AGENT
�n/J Approved
Phone: Czr,Y �OOO ELECTRIULrNilee7va
NEW RPL FEES
Size Service Conduit---------------------Number of Outlets ----.----------- -....----. .--------- ------.------
Size Service Wires....--------------------Number of Switches.--------------- ---------- ----- ---------
--
Size Service Switch------ .4......--Number of Receptacles------------ ---------- ---------- --------------
-
Size Sub Feed Conduit------/./
- -._Number of Fixtures..--........_.-_ ---------- ---------- .-...-.-.-.-..
Size Sub Feed Wires........ --.--Ranges.._............ KW.....--------- ---------- ------- ----------
Number of Circuits........"---' Oven .............. KW--------- - --------- ---------- -----...------
Number of Meters........................Signs--------- Tp4isffo�ormers...---- --------- --------- --------------
Misr--------------------------------------------- DDryers--------------------- _ --- -------- - - /,00
Motors---'-Z --- HP....../O.----..-P1ffie---A-ff ------- /,00
Motors-.-.! . z,0 0 Perrnit Fee $1.00
Motors-------------------- HP.................... Phase.----------------- H P Charge---------------- 3-��--
TOTAL FEES I S.00
C OF INSPECTION APPROVALS
Rough Wirin -- -r- - ------..... Fixtures -
-------T-----
---�-----
O[ E IX]P[CTOR OAC ylsl[cToa
Finish Wiring .-.:..-.-.....
�. . . ..- Motors .-.-..:.-_. . I.--..- -------
DATE INaecroR / uaPEcroN
Final ---- ------ -- ---� -"'.�---"-
—' -....
DA [ INSPECTOR