2325 - E NO. STREET LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
W " m= ]CITY OF CUPERTINO
rDate PUG 211963 195— Permit No.
Fee
/ll'r`1 n !V 'D[p I'll
Q Applicatiop�'is hereby madto�the City of Cupertino for a permit to install electrical
i wiring,and%or fixtures as listed on the reverse side hereof, and agrees to install said
V wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
0 City of Cupertino, and all other laws applicable thereto.
Use of Premi .g-
a
Ownerfi�¢ � �° CmtP�� Address
By Co ' Address
N CONTRACTOR, AGENT
Approved
Phone: ,37 4- 1(T 7 D ELECTRICAL INSPECrOR
P NEW' RPA.6 1FA-,)
Size Service Conduit�?-::-).7�.V-.,.Nu,mber of Outlets------.._------- -
Size Service Wires.... ............Number Number of Switches......_........ ---------- ----- .... ..........
Size Service Switch-.�-.-'-t-c-�-.--Number of Receptacles ... . .... ...... 0 e;,
p - - - --------------
Size Sub Feed Conduit..................Number of Fixtures.................. �_Y Y. ---------- --
yo
Size Sub Feed Wires....................Ran es-.-'2........ KW7..?----- --�2-
9 ----- ---------- --------------
Number of Circuits..... -------- Oven __2........
--- KW-a- -!.?---- -_2r_- .......... .
Number of Meters....f;� ..............Signs.......... Transformers-------- ---------- ---------- ------------ -
Misc------------------------------------------------Dryers---------I............................. --f-----
-.v_�_ ---------- ----
Motors... --- -------- HP Tt4,cZ .kPhase.3__iZ�
Motors.................... HP- --.................. Phase--------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase----....._--------- HP Charge-----....------ /- 10
TOTAL
C
.............I.N
...SfP
APPROVALSRouh Wirin6gFFixtures ----------- - - -
----
DA INSP..To. DATE Wiring Motors INSPECT..
PATE INSPECTOR DATE 'INSPECTOR
Final
DATE INSPECTOR
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