2014 NO. STREET COT NO. -
APPLICATION40R ELECTRICAL PERMIT
CITY OF CUPERTINO
MAY 14 9933
Date _\ _ /� }�'] cl 195G3 Permit No. U �
U Y� 01- 1 �1r:Ll'�'_. Fee 1; ';y)
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, annd/ /all other laws applicable thereto.
v Use of Premi<r< �/U �/�AZ`�
;j Owlfer Z !/�-/1 `�' Address
B Addres
CONTRACTOR, AGENT
Fy!//3�U. Approved
hone: UI D (� ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service Conduit.......}....-.....Number of Outlets.................. SS. .......... -_0.
Size Service Wires--------./Ofkqwnber,of Switches............._ 47Y. .......... ..
Size Service Switch--A ....Number of Receptacles............ --------1,2,3_0
Size Sub Feed Conduit-----Z_It........Number of Fixtures------------------ --
-- -------- --5.TO I
.... -......
Size Sub Feed Wires... ..........Ranges-------- ------ KW-------------- ---------- ---------- --?",D
Number of Circuits-----.. ........ Oven -------------- KW------------ ---------- ---------- --------------
li
Number of Meters........6 -.......Signs.......... Transformers-------- --------- ---------------I--- ----- --------------
----------------------Dryers........9-1--------------------------- -/.•'tTp
Motors.................... HP........:........... Phase-----------------_ Permit Fee $1.00
Motors-------------------- HP-----_------------- Phase..
Motors.................... HP-------------------- Phase...........----... H P Charge..------------
A A TOTAL FEES
0 F INSPECTION APPROVALS
Rough Wiring. ---- ----------------------- Fixtures --------------------- -------
DATINSPECTOR E,, INSPECTOR
Finish Wiring ....
_I -i -- ------------------
....... --------------------- Motors -----
DATE INSPECTOR AT
!o, N
...&J-42-C,&=P1CT.OR__---
OR INSPECTOR
MMMMMMMMO"