1842/ C
'O. STREET LOT NO.
APP%jt A119t4 FOR ELECTRICAL PERMIT
IV
DEC281962
CUPER`rlNO
f
Date T (�, 1/95— Permit No.
rr''rV ((���[ ����ryry�[ h�ICtt' Fce $
Appli�atibd is QF£ by rrnAR LRt + y 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 inn a ce with the provisions of the Electrical Code of the
City of Cupertino,/and all o. r laws applicable-the5eto.
Use of Premmii<�--�e
e< �nL—� !` "�"��/ \� <n
Owner X '�/rAddress
CONTRACTOR, AGENT
Phonc:
96 7 57-0 3/ Approved
NEW
Size Service Conduit-. ------_---------- Number of
Size Service Wires.........................Number of Switches...
Size Service Switch .............._........Number of Receptacles_ --------- I.... ------ I ---- ......I....
Size Sub Feed Conduit ---------------- _Number of Fixtures --- _...........
Size Sub Feed Wires...................Ranges................ KW.............
Number of Circuits----------------_. Oven ....---------- KW -----
Number of Meters .----------..------ Signs --------- . Transformers.-.-- --------- ---------- --------------
Mise.---___------------------Dryers.-------------------------.---------..... -- ...... ..............
Motors ----------- -------- HP ----------- ........ Phase ---------------- Permit Fee $1.00
Motors --------------- HP -------------------- Phase ------------------ _
Motors ----------_------ HP -_. --------------- Phase --------.--.---- H P Charge....
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring ----------- ..... I ----------------- --------Fixtures --------------------- ----- ------
T[ IN9V[CTORIDNTCIX6NCCTORFinish Wiring-----D4"'-----I--------_.---._..Motors ---.._-----------------------DAr[ ixaN[crDRFinal......1N�.11 ....._.
ORC IMSN[CTOR
f�T)E(MP'O•R"A°RYl.ECTRICAL SERVICE
DAFEB2te,u! ( 3 ....... _.... _ lee: e3.----- ...... _......
._.
..: ....sic-�....� ..
LOT:
RL'ASON:
............................. .
The undersigned agrees to esponsible for the electrical service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
CJ
Phone ...!-.�..L..`...OJ !.
L2�C�
, db 1/63-500 NOWNIFR TLNAP OR OWPR
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