2646 Q NO. STREE LOT NO. //
111MAR
ELECTRICAL PERMIT
19196�'T CUPERTINO
Date 1�� Permit No. 1
Ilq�lr NF cc $
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.
c, Use of PrreeJmigeg
a Owne'= ?h �_ ���1� Address9��
B Address��
CONTRACTOR, A NT
Approved �v `
Phone: ELECTRICAL WSPSOM
� � J
`1 NEW RPL FEES
Size Service Conduit----------------......Number of Outlets------------------ -119 ---------- --Z.. �
.520Size Service Wires--------------------------Number of Switches................ o7 a
L...--- -
Size Service Switch------------------------Number of Receptacles------------ .-.V---- .......... .a2....--
Size Sub Feed Conduit------------------Number of Fixtures.................. Z1.... ---------- ---1.9D
Size Sub Feed Wires._-.............Ranges------/----- KW--------.-- ----/--- ---------- ------..7�
Number of Circuits..-- ......... Oven ----1------- KW------------ ---/---- --------- -------
Number of Meters........................Signs---------- Transformers....--- --------- .----.-- --------------
Misc------------------------------------------------Dryers---------------------------------- - --- -----
Motors..:.,-Y---------- HP-------------------- Phase---------.......---- Permit Fee $1.00
Motors------ ------------- HP----"----.......... Phase
Motors-------------------- HP.................... Phase--------------- H P Charge.-------------- �
I......X
TOTAL FEES i��"-"0
COV OF INSPECTION APPROVALS
Rough Wirin� 0----_.l - ....... Futures ---- -------.....-
g g ..... ..........--'- -------
- ... .....----------
r[ IxsP[ttDR DsrE � [co
Finish Wiring ....:...........�. . . Moto .---------'- ---- -�----- ----------------------
.... ..........
INSPECTOR D1T `' / ,r.....
OR
Final - U r C
`\ DA E INSPECTOR