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1488 (2) o26 7�5'7 mit e f ImAl ,CcC No. LOT TPI2O�F i ELECTRICAL NO. Y JUL 2 196Fn CUPLRTINO DateN¢4�' Permit No. C L Fee S Applicat n is hereby made to the City of Cupertino for a permit to install electrical .4 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. s, Use of Premises �GJ yG C d o 02A AA, a ner G AlAddress I ��, aU e i rF,c'6S%de Address SA0wkdfds �+ / CjFRACfOA, AGENT 4 ��✓.`S Gro L/ APProv / P/ one: _ ELECI]UGAL INi►ECIOl i NEW RPL FEES Size Service Conduit......................Number of Outlets------------------ ---------- ---------- I--- ....----- .- Size Service Wires_----------------------- of Switches---------------- --------- . Size Service Switch------------------------Number of Receptacles............ _._..22... .......... ..-----.---- Size Sub Feed Conduit................_Number of Fixtures.................. 12— ---------- --/,;-?.P Size Sub Feed Wires--------------------Ranges---------------- KW-------------- -------- -------- ----------- Number of Circuits--'-------'-----` Oven ------------- KW------------ --------- -.... ..._.......-- Number of Meters........................Signs.......... Transformers........ -------- -----...- ------------- Misc-----------------------!------------------------Dryers------------------------------------- -------- -------. .._.._..---- Motors...----.-.-------- HP--------- ---------- Phase-------------------- Permit Fee $1.00 Motors------------------- HP------------------- Phase..--------...... Motors----- ----------- HP------------------ . Phase----------------- .. H P Charge-------.... ... TOTAL FEES oZ�a RECORD OF INSPECTION APPROVALS RoughWiring----------------I---------------------------- Fixtures ----------------------I--------------------`---- D.1TE IH]IECTOR DATE Ix]r CCTOR Finish Wiring L...-------------------- Motors --------- ----- I -----'--R CT ---- D�T ixa �r[ oR °,��,� Final 771 --'---- R. .I