958 NO. STREET �, V�tr. v 1 LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
MqW, 11311
PERTINO'
Date �.� �' , Permit No.CAI r to 2 ` S�
Fee T Z U
-0 Application is hereby ma(d�e. to
p�the City of Cupertino for a permit to install electrical
wiring and/C01TYWOFis ti UPER'1• N erse 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 applicable thereto.
I\�
U Use of
A 4/6
a Owner /C./9� UTO y�!' Address�b 33 /�U7TdG
ro By • �ry.C.t.. o —' C ^"'W" Address
(CONTRACTOR, AGENT Am
Phone:,!�'a �. 7'i ��� Approved
ELECTRICAL INSPECIb[
2.3
NEW RPL FEES
3 �C7
Size Service Conduit--- ---/V Number of Outlets------------------ --'-------- ......... ......... .....
Size Service Wires... ----..Number of Switches...__......--- -3...... 30
. .......... ...............
. 30
Size Service Switche��q-qA........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.......... Transformers - ---------- ----------
Misc------------------------------------------------Dryers...%--------------------- --------------
Motors-------------------- HP--------------------- Phase-------------------- Permit Fee $1.00
Motors-------------------- HP..................L. Phase--------------------
Motors-------------------- HP-----:-------------- Phase-------------------- H P Charge---------- .. .._....-
TOTAL
harge----------------TOTAL FEES I
RECORD OF INSPECTION APPROVALS
RoughWiring...--------- I---------------------------- Fixtures ------------ --------- ------ ---------- ---------
DATE INSPECTOR
DATE INSPECTO
R
Finish Wiring . Motors -----------
- -- --- -------
DATE INSPECTOR J . CTaN/ D�
Final . . - ---....---
DA
INSPECTOR