1734WN
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f�
4' LOT NO.
P 1 ELECTRICAL PERMIT
^�I�oU
1981 CUPERTI O
Date I ' }yy� t�S� �1 Z 13
Permit No.
CITY OF CUPERTINO Fee $ -'� —u
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 pr visio of the Electrical Code of the
City of Cupertino, and all of er laws applicablq theret .
Use of
j Own ^ y., V6 Address
�R B'y'wti h Address
cTOR AG44 Approved
RPL FRES
Size Service, Conduit ......................Number of Outlets...................................................
Size Service Wires..........................Number of Switches..................................................
Size Service Switch ........................Number of Receptacles..............................................
Size Sub Feed Conduit ..................Number of Fixtures....................................................
Size Sub Feed Wires....................Ranges................ KW .............. .......... .......... ..............
Numberof Circuits ................... Oven .............. KW .............. .......... .......... ..............
Number of Meters.......................Signs.......... Transformers..........................................
Misc................ :................................ Dryers..........................................................................
Motors ................... HP .................... Phase ................... -
Motors ......
........... HP.................... Phase.................... Permit Fee $1.00
....
Motors.................. HP .................... Phase .................... H P Charge.......----...................
TOTAL FEES-
RECORD
EES
RECORD OF INSPECTION APPROVALS
RoughWiring ..... ........... I............................ Fixtures ...................... ............................
.ATL INSPECTOR DATE INSPECTOR
Finish Wirin`g........:.......I........-----........ Motors ..... - �,.
_.. �.. _...
.ATE INIPECT.R ort
Final-f ................. ... ..•-•
0 INSPECTOR
OFFICE
COPY
A
1965,
I'm
iNv. V1 wlicb�- .............. 01LU UL WIFCb ........ Jor ........ aize or awitcri ----
Motor Load .......................... Voltage .................. : ............. . Phase ....................................
—Heatirik Load ...................... K. W . .................................. Voltage ................................
Light ....... -110 ..... 600, ew Service ._:.__......Reconnect-- .....
',No.'of Meters' :_.el
Heat
es
at .............220
..
-220 ............. Three Wire ...................Move Service ..........
s
No. of Add. Mete1•s .......... Power ................ e ................. ove er ............
... ... ... . . ...........1.......................;--
4V�QLECTRICAL;IN§PECTOR
104'7/61-500