1663 NO. STREET LOT NO.
P1I ELECTRICAL PERMIT
CCUPERTINO
�.s ossa l
Date 1y Permit No.
CITY OF, CUPERTIN� Fee $ 2-0
CTS Application ishereby made to the City of Cupertino for a permit to install electrical
l� wiring and/or fixtures as listed on the reverse side drereof, and agrees to install said
O , wiring_and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
a Use of Premiseq
a Owner a-�"z "��✓/ /- Address ,7 �9
v
By Address
" ..• 770 South A rR4F ORp.tf 92J Approved
`�P.hone: I"nfaifyi9w.{Calif_ AecrnrCIL MSPS M
NEW RPL FEES
Size Service Conduit.... ........Number of Outlets................... ...7
Size Service Wires------Z..............Number of Switches...1....... -3
--- - 3.... .._..... ---------
size service switch---/ -AMP-Number of Receptacles............ ./0.. ......... ....
0 '170
Size Sub Feed Conduit....I-Al......Number of Fixtures................... ..ZI--- ---------- ------
�./
Size Sub Feed Wires....:..--------Ranges................. KW.............. - ------- --------
------ -------------
Number of Circuits_.._. 6------- Oven .............. KW........._... ....--.--- ------- -------
Number of Meters........./...........Signs.../.... Transformers....__ .......... ......... ..............
Misc------------------------------------------------Dryers--- 36AmP_cKT,% -Y' 7J-1 ...
----------- ------ ------
Motors------------------- HP.................... Phase----------------I"
Motors-------------------- HP.................... Phase----------------- Permit Fee $1.00
Motors-------------------- HP------------------- Phase.................... H P Charge...':;---......
TOTAL FEES
CO NSPECTION APPROVALS
Rough Wiring..I. ...... --------------------- ...
TF
-
X DATE
Finish Wiring L ........ Motors ............. I.........
---------------- .......
DAT.
AT. t, I'm., Q., DATE
iFinal .........D.AT.t...... I-------:.'.-11.K-C-T-0-2..........