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NO. STREFI!' •+ --LOT h:.. sS S J
pr�F ELECTRICAL PERMIT
p 1n614'YI�CUPERTINO
J,�'OCT 1 O JDL
Date /07 y AO Permit No. 7,R 3
Ully �IYY V
• ,II=ce $ 2�ro
Application is hereby made to the City of Cupertino for a permit to install electrical
M wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
3, wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
rCity of Cupertino, and all other laws applicable thereto.
Use of Premises �G kOC-"
CYwner
GIAKNE2 It1 c5uA /7 6E Address Ceesn �Ri✓f
/ROUPEKTi"v cEflrKc. Ii�L, Address RO• 13ox (/(-nCONTRACTOR, AGENT Approved
ne:: qL ELECTRICAL INSFECT01 I
NEW RPL FEES
Size Service Conduit--------------ne----Number of Outlets:'-......._e'.--- ---------- ----------
Size Service Wires--------------------------Number 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-------- ----------
-------IF
Misc.-. -----Dryers..----------------- ------ -
Motors-.-------------- HP------------------. Phase-------------.-
Motors.................... HP-------------------- Phase------------------- Permit Fee $1.00
Motors.................... HP----------------- Phase.........—........ H P Charge--------
, ----- --------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring,------------- ---------------------------- Fixtures - -------------------- ....... -------------------
04TI INSPECTOR DATE
Finish Wiring ------ ----------------I........ motors ---- -----------------
DATE INSPECTOR TOR
Final .. .. 9.C.............
INSPECTOR