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. ' N� -'.i' STAB&. ii-ri,,. :.L.�.L T NO.
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F'CUPERTINO
1 J
-195 Permit No. /
Fee
Appheatioa is hereby made to the City of :Cupertino for a permit to install electrcaT.
wiring aad/oc ¢tures as.listgd}}'e�Y-° tEr, ; e side hereof, and agrees to install said
y wiring and'/ortfixtures in aair3an I�i provisions of the Electrical Code of the
,N City of 'Cupertino, and all other laws applicable.thereto.
N Use of Prem[
-z&Adress
Owneg y
y By ti ,�e7 — - Address :�.r
n
CONTRACTOR, AGENT { Approved
\ . {
! HcacTRrut c+arecroa
. Phone
1
NEW RPLPH83 �' i
M// R
-{ f umber' f rChidits -_ T
Sze Service Condm
uit oF
Size Service Wires ?i -Number of Switches
i
Size Service Switch..-_.. ��d Number of Receptacles� � �i
-�S¢e Sub-Feed Conduit --.-..-_
Number of Fixtures
j7
7. 1
Size Sub Feed Wires--------------.---Ran ges...---J KW.. a
Number of Circuits_--_.--••--...- Oven ,.1-- KW._- '
F7
Number of Meters....../----------....SIgns ---. Transformers t wj it
Mac--- - ............. Dryers........._ a i
Motors......
- = Phase.
Motors-•----•---`•---,•--- Hg ----- Phase--..- ......._-_ Permit. ee.:$ 00 _
Motors - lip.................... Phase---------__--_ H P Charge............
O
TOTAL FEESi
3_
O INSPECTION'APPRO
Rough Wiring -� ...... _ Fixtures
O
Finish Wiring Motors_..' OR.
y�
r Final _ OR
.. . _. ... -... r[ ms,, rar