1729 (2) l\\"�CC I I 1"��\ ,
NO. PLOT NO. —.
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Date 10V ,r�i n Permit No. 2
^T n 1962-
962 Fee S C'D
Application is ere 6y made o the City of Cupertino for a permit to install electrical
wiring and/or fixtures as list d Q{ ��j�c side hereof, and agrees to install said
wiring and/or4ge, .cc1t6Vt 1112Ndprovisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
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Use of Premi
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Owner
Address
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i By Address'
ONTRACTOR, AGENT
,O Approved 4— fz EEMUCAL WSP
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NEW RPL FEES
Size Service Conduit----------------------Number of Outlets------------------ -------- - - --- ------
Size
_. -Size Service Wires-------------------------- of Switches- ---------- -
Size Service Switch------------------------Number of Receptacles------.----- ---------- ---------- ..----------.-
Size Sub Feed Conduit----------------Number of Fixtures...-------------- ------- ---------- -----.---....
Size Sub Feed Wires--------------------Ranges................ KW------------- --------- --------- -------------
Number of 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 FEFS
O NSPFCTIO VALS
Rough Wiring/p- --- ..- -----` .-- Fixtures ----------- ----- - -----
CAT[ •[CTOX ¢AT[ IXaPECTOR
Finish Wiring --.----. --/. - - Motors - .-_ ----- --
¢Ara IxaE¢r¢• -C[T[ TO
Final .. -
OAT[ IX01'[CT011