1281 NO. -.%WEE_ T-- LOT NO.
ELECTRICAL PERMIT
Ind 18 IMI CUPERTINO
Date { O/Rv 05— Permit No.
Fee 56
Application is hereby made to the City of Cupertino for a permit to nstall electrical
wiring and/or fixtures as listed on the reverse side hereof, and agre 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.
v Use of Premi«=
c
'a Own Address
7111/ L
By / Address _
Approved / Z
z�n <AG . /QUO eYJCMCAL I ecToa
NEW APL - FM
Size Service Conduit.-----------------..Number of Outlets----=------------- -- A ... ....... 1AP
Size Service Wires.-------................Number of Switches..:.---.----- -- -------
Size Service Switch...........-..........Number Number of Receptacles_........- ---lu-- ---------- ---
Size Sub Feed Conduit._..........._Number Number of Fixtures.................. LZ-- ---------- ----)...
Size Sub Feed Wires-------------------Ranges---------------- KW-------------- ---------- ---------- --------------
Number of Circuits--'--------'--..... Oven .............. KW.------------- ---------- ---- -:--- --------------
Number of Meters..._..._..............Signs_........ Transformers...----- ---------- ;--------- ------------
Mise---_...----'
------------
M'sc-----------i.-�..................... ......Dryers...._-------... - ------ ------ --- -------------
.. ........ HP..... ----- -, � l
f�Zotors........ - Ph ---------------------
Permit Fee $1.00
Motors-------------------- HP----- -------------- Phase--------------- --
Motors-------------------- HP-------------------- Phase-------------------- H P Charge....... ---
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring-------........ ------'-------'----------- Fixtures
-------- .. .. ..... ---------------
-7 IXf SECTOR - .. .....
Finish Wiring ................... M ------------- -- - --------- ----
-•-------
..... . r- - -
DATE INSPECTOR JIN.
SPUT'OR
- ........ * **-'
DAT[ INSPECTOR