26344e I STREET/ -' , LOT NO.
VmAROR ELECTRICAL PERMIT
I • DE CUPERTlr7o
19 6 .
Date 19 Permit No.
CITY OF UPERT Fee S4
Application is hereby made to the City of Cupertino for a permit toa all electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in acc52.f
with the provisions of the Electrical Code of the
City of Cupertino, and all applicable thereto.
Use of Premise— _�� /
ByV _ Address
noon, ncrxr A roved /
Phone: _.. _i PP ELECTRICAL INSPECTOR
State
NEW RPL FEES
Size Service Conduit........ - IxOutlets........_
4 k
------- Numher of Outlets ... --- -------- - 1 ........... ...
Size Service Wires...._----? .....Number of Switches ................591 -- ------- ---------
Size Service Switch ...... /&.Z%�rnber of Receptacles........__. Z;�? / . .......... ... .
Size Sub Feed Conduit ------------------Number of Fixtures ------------------ -
.. .......... .. 7 ----------
Size Sub Feed Wires -------------------- Ranges ............ KW.._....___ .......... .......... ...... 7
Number of Circuits --------- 9 ----- Oven .----/... KW ------- - -------------- ---------- --------
Number of Meters......--- / ---------- Signs ----- — Transformers _......L.._
Misc.......-------- ------------- /-� ----- Dyers
---- ------------ I -------- - I ------
Motors ......... Y2— Per -mit Fee $
Motors ...... -------- HP -------------------- Phase -------- --....._.
Motors -------------------- HP .................... Phase .................. H P Charge............
r TOTAL FEES
Rough Wiri Fixtures DD- A -----N------E-C--T-O-----
----
-----
DATE D
-*S---TOR
-- - -R
Finish Wiring ------------ --------- ----------- Motors -i.. ..
DATE I A -C-0R
Final ---------
DATE I.".IT.."
* ......