2224 0. STREET / LOT NO.
APPLICATION gATION FOR ELECTRICAL PERMIT
&6 1963 M, OF CUPERTINO
Dat — n D1n19f— Permit No.
� i . �J-." Pees
Application is hereby made to the City of 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 applicable thereto.
V1 Use of Premi
v (7
a Owner �
y LFR , INC.
id P et-�T 2 pprove
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328 RAILW��`'j�?kroR,C�.&MPB L .
EL Approved
/� Phone: G' 1 yf j/� ELECTRICAL INSPECT0a
5 4�LW RPL
Size Service Conduit.....'A.... ..........Number of Outlets....... _ _ Y
... .. . ., ... .....--- ----.J..."_y0
Size Service Wires......_`. ...---------Number of Switches................ 'S....... .......... ... �
s �3 �• :.
Size Service Switch.:..............._Number of Reccptades.........._ ........._ ........ ....._.....
5-0
Size Sub Feed Conduit.._//-/._....Number of Fixtures------------------ ✓ 5.-- ---------- -....'....
Size Sub Feed Wires.................Ranges......y------- KW............. ------ ---------- -......C...
Number of Circuits.....- --------- Oven ----...... KW------------- ---------- ------.-- '=.............
Number of Meters....J�................Signs.......... Transformers-------- ---------- ------... . .... ..L..
p I'�
Misc------------------------ ------ ----"'.Dryers------ ---...-- - �^`--
Motors.... :e......... HP ........`!"...... PhaceS*:-?c�"......._ permit Fee $1.00
Motors.......---------- H ------'---------- Phase......------------ `�0
Motors.................... HP Phase-------------- ----- H P Charge......------.
TOTAL FEES
INSPECTION APPROVALS
Rough Wiring/Q.: -- . Fixtures -------------------- ---------
DATE INSPECTOR DATE 6PCCTON
Finish Wiring ...... Motors - ----......----...
DATE INSPECTOR DAT[ OCTOR
Final .....
.
DATE INSPECTOR