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1023 as -j0 NO. STREET LOT NO. A=CA . OR ELECTRICAL PERMIT 160 I OF CUPERTINO APR 1219fit Date pnFrtK1T 1,ty'�/�/, 195— Permit No. TV ((�� R"7 t�ti[1C Fee $ � ©� AItio 1d�Jhe City of Cupertino for a permit to mstaII a ectrical 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 V City of Cupertino, and all other laws applicable thereto. V Use of Premises ftECTnRICAL a Owner Address v " By Address �J CONTRACTOR, AGENT 1t i -Pone: ,,CONTRA Approved � E61b; NEW RPL FEES Size Service Conduit----------------------Number'of Ou'u'ets..---------------- ----------I-.-------- Size Service Wires..........................Number of Switches...----------.-- ---------- . Size Service Switch------------------------Number of Receptacles.--------------- ---------- --. -.... ....//..-------- Size Sub Feed Conduit------------------Number of Fixtures.----.---.-------- ---------- ... .1.:. 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-------------------- Phase.................... Motors.................... HP------------------- Phase------------------ H P Charge--------------- -----.-:....- TOTAL FEES ' PECTION APPROVALS Rough WirinFixtures ------ --------------- --------_ ---....---.----- RATE INSPECTOR DATE IH ECT R Finish Wiring -----`..------�--------I----...T-R.... otors ------ ��-- OAT6 IHSP[CTOR / HS TFinal lo�:ri{ ATL INSPECTOR