1606 (2) .NO. .. STREET LOT NO. b
APPTIN FOR ELECTRICAL PERMIT
nL
CUPERTINO
Date -- Permit No.
Fee ;i /3 .SZ�
App 1 1 e y of Cupertino for a permit to install electrical
wiring an /or fly tureTV iEBIM reverse side hereof, and agrees to install said
wiring;and/or fixtures in accordance with the provisions, f the Electrical Code of the
City,W-';.Cupertino, and all other laws applicable thereto;`Xfi,
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:a Own r C'-� i�.��✓�Oa��,._Qa Address
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ONTRACTOR, AGENT
// )Approved
7 Phone: -_` G 17�� 7 ELECTRICAL INSPECTOR
NEW RPL FEES
Size,Service Conduit.....................:Number of Outlets.................. ... ..... .....
Size Service Wires..........................Number of Switches................ ....;L a.
.....I. .......... ..............
Size Service Switch........................Number of Receptacles............ ...2Y. ........ . ......
Size Sub Feed Conduit..................Number of Fixtures.................. ../...7.. .......... ......1...9..0
Size Sub Feed Wires..._...............Ranges..../......... KW..... ........ .......... .......... .........Zr
Number of Circuits................... Oven ....... KW............ .......... .......... ..........
Number of Meters.......................Signs.......... Transformers........ .......... :......... .........._...
..:..:,Dryers.,/.................................... .......... ... . .........
Misc.... ...................... 7
Motors ... .............. HP.:. ....:..... Phase....................
Motors.................... HP ....... Permit Fee,Phase.................... 1.00
Motors.................... HP—'.41...:........ Phase.................... H P Charge............... ........
TOTAL FEES—
RECOF
P" OF INSPECTION APPROVALS
RoughWiring................ ..................... Fixtures ...................... ..............
OATS INSPUTOR...fOATS INOP I SCTG I p.V4- t
Finish Wiring ................ :V!.............. Motors .....
•
PATS r"SPICTOR Final .........
VATS ixn SCTOR
ELECTRIC SERVICE NOTICEQFFICE
/✓S BUILDING INSPECTOR'S OFFICE COPT
CITY OF CUPERTINO
/......................... �/..?....................... 196.-�L
To
You are hereby auth d to coraect the EL ervice or
Owner or Tenant ... .....
No. ores _.3 Size of Wires ..,�_------ Size of Sw /
. iJ/.... ... ..
.........:.... . itch/.(��'..
MotorLoad .......................... .Voltage ..-----....................... Phase....................................
Het"ting Load ....................:. :'K'W. .................................. Voltage.................................
// 8 ...New Service ..,/..--....Reconnect ................
No. of Meters ...f.............. Heat' ......._220 ../......Three Wire..--.--...--.......Move Service_',..i....
No. of Add. Meters .......... ................
Power 5Ii......-...I 10 -"✓/'. T
" LECTRICALOR,-r t
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