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1648 (2) LOT NO. � APPLICATION FOR ELECTRICAL PERMIT - CITY 18 Wx?z o�uPERTINO Date CI Y Of nimf� YY"t� Permit No. / O (� ^� Fee �p 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 n all 0-her las �4I 1e thereto. yTTqo of Premi \�A4/// c V a Own6C�cldress By _ Addres 9 G cw ins irate CONTRACTOR, AGE X 377-428p APProved ' Phone: LEC R CAL INSPEM NEW RPL FEES Size Service Conduit----------------------Number-of Outlets ----- -.--------- Size Service Wires------- --5--------`7iNumber of Switches-- --.......L............. Size Service Switch----16 6../5Number 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......... .......... Permit Fee $1.00 Motors---------------_ HP.................... Phase------------------ Motors.................... HP.................... Phase-------------------- H P Charge.._..---------- ----......... TOTAL FEES RECORD OF INSPECTION APPROVALS RoughWiring................ ---------------------------- Fixtures ------------------- --- ---- -------...------ 01 TE 1116.__ DATE IKSPECTOR Finish Wiring ................ --------............... Motors ... -- -- � --- -- DATE 166TECTUR Final --r/ —-----�---- -- ------------- - .AT IX{TECTOR - — � k ELECTRIC SERVILN.QTICE cnPr HUILDING INSPECTOR " OFFICE CITY OF CUPERTINO ..`.. is jo You are hereby,aut ¢ed to tonne ie �CTRIC servi r Owner or Tenant . . . .. .---- .. �..._....-............. .... .-- -- ...... �....�...L.d.�. At ......._........ _.......................... No. of Wires ...... Size of \Vires .#.._Z... _ .._ Size of Switch .� �� P11..... ..... .. Motor Load ............._........_ Voltage ..-----.................._.... Phase -,......................... HeatingLoad ... K. W. g ��++ _._... ....._-... - Voltage _ -......... lLight _-_t-- ....110 ...............New Service _ __.Reconnect ................ No. of Meters..._'............. Heat ..... 20 ......._.... hree Wre........__..__Move No. of Add. Tfeters .......... Power .........._... Thrcc hale .L..1._.._..._.Dlove(hnJ(eter ............ GLP.CTRICAL IN LTOR 104 7/61"500 l.J