1118 NO. STREET ��- LOT NO.
AP CI ELECTRICAL PERMIT
® O ERTINO. .
Date AUG 3 D 196'i 195_ Permit No. �/
r pT nln Fee S
ApplicatioC4ThY,cEgFiiadCUPE iT} N 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, and all other laws^pplicable thereto. l
v Use of Premi �'� Z-/�t4
;.a Owner ss
BY "' Address _
CONTRACTOR, AGENT /
/ —� .3 Cn :Appro ed —
6 Er. erarue rrasreCma
NEW RPL FEES,
Size Service Qonduit....:.................Number of Outlets------------------ ---------. .--------- ---- -------
Size Service Wires...-.--------------------Number of. Switches---.-.._._... ....... . ....... --- - --- —
Size Service Switch------------------------Number of Receptacles._......... .......... ....._.-. ...........
Size Sub Feed Conduit------------------Number of Fixtures..............._ .......... .......... ..........
Size Sub Feed Wires----- ----I---------Ranges---------------- KW..------------ ---------- ---------- --------------
Number of Circuits-----...:..------- Oven --:----------- KW........ .......... ........ ..............
Number of Meters........................Signs.......... Transformers..---- ---------- ---------- ------------ -
Misc................................................Dryers._.---------------.._-------------- --------I-...----- --------------
Motors ----------------- HP-------------------- Phase-------------------- Permit Fee $1.00
Motors--------------------- HP-------------------- Phase.........--------...
Motois-------------------- HP-------------------- Phase.................... H P Charge................ .............
TOTAI FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring................ ---------- Fixtures -:11------------- ---------------
... ..........
DATE INSPECTOR DATE INSPECTOR
..........4 ..........
DAY, INSPECTOR T OR ��T.R
Finish Wiring ----------------- ----------------- ....
=- otor -------D*�
............
Final, 911.4
DAY! INSPECTOR
T