1407wiring and/or fixt
City of Cupertino,
•SLOT NO.
l�
)R ' ELECTRICAL PERMIT
OF CUPERTINO
--195_ Permit No. u •7
Fee ti 03
�moad�t Nt 6ity of Cupertino for a permit to install electrical
i� aa}H� rc reverse side hereof, and agrees to install said
in accordance with the provisions of the Electrical Code of the
Size Service Conduit ...............
....... Number of Outlets -------------
-----. ----Size
SizeService Wices--------------------------
Number of Switches................
Size•Service Switch........................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 ---------- Transformem-------
Motors-------------
Motors -------------
Motors ---------.-
... HP -------------------- Phase ..--------:-,--_ Permit Fee $1.00
_ . ,.c
.. HP --------------------Phase ......� -
... HP ---------- ------- Phase --------------- H R Charge..---------._ .------------
_TOTAL. FEES
LECO INSPECTION. APP VALS _
i -...7..--I:. ----------- Fixtures .:........... -------- .............
- 1 V IN EC.TW n
gyp- Motors • r;,',
5-T =�2 -----------
j Final - --"-------- -----------`------
DAT[ i INSPECTOR