1745 Electrical Permit Application •' NO. STREET LOT NO.
QR ELECTRICAL PERMIT
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Date �e [ 19� Permit No. 1 ��
CITY OF CUPERTINO Fee $ 1
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,-and all other laws applicable thereto.
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y weer- V/11: Address
By— Address
V� CONTRACTOR, AGENT
it. Approved n
II' Phone. 4.1-.2-6 0 e 9 LECIRICAL INSP6
NEW RPL FEES
Size Service Conduit......................Number of Outlets........--........ .... .......... ...!.5.0...
/If
Size Service Wires..........................Number of Switches................ .?.....7—
.. ...... ...........
Size Service Switch........................Number of Receptacles..........-. .?..
0 Y'4... .......... .......2.......
Size Sub Feed Conduit..................Number of Fixtures.................. /.,?... .......... .....L.�.6
Size Sub Feed Wires....................Ranges..../.......... KW.... ... .......... .......... ........7.3.7
Number of Circuits................... Oven ....(........ KW............ . .......... .......... .........
Number of Meters........................Signs.......... Transformers........ .......... .......... ....:..........
Misc........... ............ ..................Dryers...Z.................................. ......... .......... .......
Motors.....r............r., ......... HP-.................. Phase........--.......... Permit Fee $1.00
Motors.................... HP.................... Phase....................
Motors.................... HP.................... Phase.................... H P Charge...............
TOTAL FEES- e)
INSPECTION APPg S
Rough Wiring ......... Fixture, .........
DATE INSPECTOA
Finish Wiring .... ... motors ..:/.... .. ...r l--... ........
J Eye
DATE INSPECTOR Final ..... SPECToTO..R..........
VATS INSPECTOR
�FICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
1 11
TO
You are hereby a*i*rzed to connect C!jx*c I ice r
Owner or Tenant .. .K✓. .......................
........ ......................
At ...
No. of Wires N�?............. Size of Wires ......... Size of Switch
Motor Load .......................... Voltage ................................ Phase ........ -------------------------
HeatingLoad .................... K. W;;.................................. Voltage ................................
110.........k. New Service ........
No. of Meters.... Service.......... R�onnect------------------
77�
-20 ..........
Three Wire............... Move Service.......:..::
.a
No.of Add. Meters�:�::�.::� JA
Powe�....:1....... se...... Move Meter.........
................. ........
1041/83:800`? ELECTRICAL iNspncT6R'