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2653 NO. R LOT NO. �. Q p R ELECTRICAL PERMIT IS WAR 19 1964c,111F CUPERTINO / C S� Date 1 ©96' Permit No. Willi u161" " 00 Pec S k2 --- 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. v Use of Premi«= �-l-�i'-l/�-1-y Z3 Owne ddress ro By Address CONTRACTOR, AGENT .Approved Phone: ELECTRICAL INSPECTOR 7 NEW RPL FEES Size Service Conduit----///------Number of Outlets----------- ----- --'14 ... ------- Size Service Wires.........Az .....Number of Switches.............. ...�/ ---------- -- ----- ----- Size Service Switch...IAIY� .....Number of Receptacles.._.------- -j veq w- -- ------ - ....... Size Sub Feed Conduit------—-------Number of Fixtures--------------- Il -- a ---- ---------- -- Size Sub Feed Wires...................Ranges....../...... KW......---- - ---------- -------- Number of Circuits--------—-------- Oven ...../...... KW-------------- ----- . ......... .-- .P , Number of Meters------------------------Signs.......... Transformers-------- ---------- ---------- -------------- Misc------------- - ----------- Dryers ------/------------- ----------I.......... ......... --- Motors---- P....... - ----- Phase---j- ---------- Permit Fee $1.00 Motors-------------------- HP......------------- Phase-------------------- Motors-------------------- 14P-------------------- Phase............... H P Charge_------------ 'Z TOTAL FEES------ 1 F INSPECTION APPROVALS . ... ...... . Rough Wirin '1�r------------------- Fixtures ... 9�/t INSPECTOR N';-;.T--------- Finish Wiring ............_..I------------------------f Motors - --------------- EATS INSPECTOR Final OA INSPECTOR .................