2286(/9y�'�• I _
No. STREET LOT NO.
®OR ELECTRICAL PERMIT
Ic OF CUPERTINO
JUL 301953
Date C 1st�3 Permit No.
CITY OFC ERToN� tree $ � 6
Application is hereby made to the City of Cupertino for a permit to ms all 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.
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Address
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CTR[ULVIN5PPLISR
NEW RPL -
Size Service Conduit_ ................ umber of Outlets ....'5--5.
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Size Service Wires..........................Number of Switches../.---..................
Size Service Switch ''--------------------- Number of Receptactm ..........
..........
Size Sub Feed Conduit ..................Number
� -r
of Fixtures ......_..........
..........
Size Sub Feed Wires ....................
Ranges ..... �?�...... KW --------------
.----.-
Number of Circuits-------------------
Oven ... ---- KW --------------
-------
Number of Meters......... . �.. .....Signs.......... Tran
Misc..---------------------------------....Dryers----------------
Motors .................... HP ----------------- Phase -------------
Motors -------------------- HP --------- -- Phase -------------
Motors ..... a,�2....... HP.!'1:: Phase ....---..---
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"' Permit Fee $1.00
....... 'e Q
.... H P Charge.----...-- - ��....y...
TOTAL FEES A • -K-�
� OF INSPECTION APPROVALS
Rough Wiring.�.Q ?STI-- -- Fixtures ----------.._----- ..............-......----
AT INSPECTOR DATE INSPECTOR
Finish Wiring .... • ----- --------------------- Motors ------------- ..-------
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--------------
T, INfPCCT.R
OAip�; INSPECTOR
p.., Final - -----------_------------
I.
DATE INSPECTOR