1995 ELECcm -al --a . o---M'Q W.
NO. . • STREET LOT NO.
. - !✓J�r7�i
ELECTRICAL PERMIT
CUPERTINO
Permit No.
AgliBionWhertti'' R'US 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 there
v Use of Premiseq
C
ner Address
v '
i B Address '
CONTRACTOR, AGENT
1 % q r� Approve
hone: _��T/t L` . 7 �y ELECIM L INSPE( —
Nt-W RPL FEES
Size Service Conduit ------- -------------- Number of Outlets ------------------ - ------ ----------
I --------------
Size Service Wires -------------------------
Number of Switches ... -------- * ---- ----------- ---------- --------------
Size Service Switch .... --------- : --------- Ndmber of Recept acles— ------------ t ----- ---------- ------ ---
Size Sub Feed Conduit ------------------
Number of Fixtures ------------------ ---------- ---------- --------------
Size Sub Feed Wires --------------------
Ranges ---------------- KW -------------- ---------- ---------- --------------
Number of Circuits -------------------
Oven -------------- KW -------------- ---------- ---------- --------------
Number of Meters ........................ Signs .......... Transformers -------- -------- I - ---------- --------------
Misc-------------------------------------------------
Dryers ---------------------------------------- ---------- ---------- --------------
.................... HP -----------------
— Phase -------------------- Permit Fee $1.00
s-------------------- HP --------------------
Phase --------------------
s.................... HP --------------------
Phase -------------------- H P Charge ---------------- -- -----------
OTAL FEE ZLO-
Rough Wiring
11tj
1NSP?alON APPROVALS
Fixtures ---------------------- ----------------------------
IT
INSPECTOR DATE INSPECTOR
. ... ..
Finish Wiring --- ---- ........................
. Motors ------------- ---------- ----------------------------
....................
DATE
INSPECTOR f . AT N SP CT . It
Final ........... ........... ......... .......
-- -- -------
- -
DATE INSPECTOR