Loading...
775 (2) * NO—"' STTREET a LOT OfC� 4� ' , ""AA RICASL PE'RMi T P,P�LICATION. R" EL CT - CI OF �PERTINO. •" Date , 19 _'i Permit No= Fce $ n 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 accojdance with the provisions of the Electrical Code of the City of Cupertino, and alr other laws applicable thereto. v Use of Premi c ��) _ a Owne�L 4e Address ByIAARa. �4 t.> Address��: CONTRAS OR, AGENT ''r _ Approved ' •-�1�--�-� Phone: 'Z// .! S (�% �' • ELECTRICAL INSPECT03t " ! ia d\l-,�F7`T N NEW RPL FEES Size Service Conduit......................Num Ou-le ---------------- --- m ----- ... - ----- Size Service Wires-------------------------Num r of sl------- ..... .It--- ---- Size Service Switch------------------------Number f'Riec les............ ..... ' Ires Size Sub Feed Conduit..................Number of l res;------------------ ----V-- ---------- ---- Size Sub Feed Wires....................Ranges...------------- KW---------- -- ---------- ---------- -------------- Number of Circuits................... Oven .............. KW------------ ---------- ---------- -------------- Number of Meters--------------------...Signs---------- Transformer ---------- ---------- Misc................................................Dryers.................. .......... Motors-----------------.- HP-------------------- Phase.................... Permit Fee $1.00 Motors.................... HP.................... Phase-------------------- Motors.................... HP-------------------- Phase-------------------- H P Charge--------.---- ------------- TOTAL FEES RECORDeQF INSPECTION APPR x A ., e, $ Rough Wiring Yz� :? ;0 P ......... Fixtures Finish Wiring, ------- ro[ DATE INSPECTOR to A..I.- --.f Pioal's-_7 DATE