2384 STREET LOT NO.
&I's
FOR ELECTRICAL PERMIT
won= OF CUPERTINO
EP 12 010
Date
I9:5— Permit No.
Fce $ 6 Q
' �plp�iYtiOF hCPE�T<�le City of Cupertino for a permit to install electrical
16wiring 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 law�s�applicable thereto.
U Use of Premise<
c
�:i
Owner 9 Address
BY Zf/ �� nx —
CONAddress
Approved
�Phone � V s3o
P
ELECTRICAL INSPECTOR
,- - - - NEW Rf�L Fr.ES
Size Service Conduit.....2F!.........Number of Outlets...--------------- --3.-- -------- ............
Size Service Wires--------1./6...........Number of Switches........-_...-. - -------_. --------------
Size
------_ � O
Size Service Switch. ..s�...Number of Receptacles........./. ..3 /,q-,30
- - --
4-0
1� -- • .
Size Sub Feed Conduit....J........_.Numbe[ of Fixtures............_.... -..._.... .
3 o C)
Size Sub Peed Wires----�..-------..Ranges.......�----- KW.............. .......... ..------- ------.......
Number of Circuits.....4---------- Oven -------------- KW.....-- ---- _.. -
Number of Meters..............Signs---------- Transformers-------- ---------- ---------- --------------
Misc---------------- -------- -------- - -Dryers----- __--------------------- - - -. SCS
Motors-,94........... HP I.----------------- Phase-------------------- Permit Fee $1.00
-
Motors------ ------------ HP-------------------- - -
-. Phase...... --- ....... ! U
Motors------------------- HP------"-q--------- Phase----------....... H P Charge_..--------- :.J.------
..---.
TOTAL FEES_ 11�11t_
O OF INSPECTION AP
PROVALS
g "
"Rou h Wiring---...-----
Fixtures - --
IXSRECTOR DATE INSPECTOR
FinishWiring -"".............1.......---...----...... Motors -"-----......- --{ �- -- ------------------
//� ogre I aeQcroR � xs>p ---*ox.
(�h Q l/ -- -rte Final ..... ...-I- --------�'---------------------------
ATX / PE —
/£// DINSPECTOR