2647 NO. STREET -
LOT No.
FP VR ELECTRICAL PERMIT
tmAR 191964C1SE CUPERTINO
Dater
CITY OF PE /�1 Permit No.
Application is herebytile Fee
made to the City of Cupertino f
or wiring and fixtures as listed on the reverse side hereof, permit to install el
wiring andcal
/or fixtures in accordance with theprovisionsel said
retof the Electrical Codi Install said
City of Cupertino, and all other laws applicable thereto. Cod, of the
v Use of Premises
v , � �
.J Owner / p
By - �' Address/
CONTRACTOR, AGENT Address/
Phone: pptoved
ELECTRICALIMpECrM
NEW RPL FEES
Size Service Conduit----------------------Number of Outlets-._-------------- - . . .....
Size Service Wires--------------------------Number of Switches--------- ------ oda. ........
Size Service Switch------------------------Number of Receptacles.---.--._-.-- .... ....._.-. .¢2_.....
Size Sub Feed Conduit------------------Number of Fixtures-.-------..._.--- --.9. .....--..- --/-9e
Size Sub Feed Wires--------------------Ranges.......J...... KW------------- ----- - ---------- -------
Number of Circuits------------------ Oven .-.-1.-..... KW----------- ----- -- ---------- -------
Number of Meters----------------------Signs.------- Transformers-------- ---------- --------- ---------------
Misc------------------------------------------------Dryers-----------/-------------------------- -----/--I---------- ------/
Motors-------,F-------- HP-------------------- Phase-------------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase--------------------
Motors-------------------- HP-------------------- Phase-------------------- H P Charge--------------I......
I TOTAL FEES——————LZr—Lea
3t-4"
Zj 4ECO 0 INSPECTION APPROVALS
Rough Wiri - ------------ . . ................. Fixtures ---------- - ---------
D TZ IKSPEC
T 0. �
Y
A IMIRLCTOR
Finish Wiring ---- ...... ------ -- ...fmoton -----/ ------
-------
DATE [KIPECTOR IT T.R
-------------
D#T1 CTOR