2700NO. I STREET
LOT No. SZ
D OR ELECTRICAL PERMIT
I OF CUPERTINO
If APR 241964
Date TT�V/ (�[ (� PFRT p� 195— Permit No. � Q
' Yi 1st Lfi�tn'dU�f IIVo Fee 5� sv
A 1 inn her o 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 ap 'ca thereto.
Use of
CONTRACTOR, AGENT
�Vd—oS�, Approved
Phone: J
State License: o1oSA7S—._
--?'
INSPEC' 1
NEW RPL FEES
Size Service Conduit......................Number
of
Outlets ----------- _----
..--------
.........-
Size Service Wires -----------------
of
Switches ----------------
----------
.........-
Size Service Switch........................Number
of
Receptacles------------
----------
--- _.----
Size Sub Feed Conduit_.................Number
of
Fixtures ------------------
----------
------ ---
Size Sub Feed Wires... -----------
...... Ranges ----------------
KW------------
--------
-------
Number of Circuits-------------------
Oven ---------.---
KW-------------
--..-----
---------
Number of Meters ------------------------
Signs ----------
Transformers........
_........
--..------
Misc..............
Motors .........
HP
HP
Phase
Phase
------ --------------- I ------- I ------1-----......
--------- Permit Fee $1.00
H P Charge.... ---------
TOTAL FEES
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Rough Wiring ................ ---------------------------- Fixtures .......---------
-------- r -
DAT[ INSPECTOR DAT[ / SPICY"
Finish Wiring ----------------I. .. ... Motors .... .. ......-.........
'------- -
DAT[ INSPECTOR L DATE I- /----------------------
DATE
1 T[CTOR
Final ."1 ....... - -------
DAT[ ` INSPECTOR