2390 NO. F.E LOT NO.
_.
g,00rC' ON FOR ELiECTRICAL PERMIT
EP 12 1963 1 OF CUPERTINO
Date f14j�- Permit No. �3`
Fee $ /0 PO
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 la applicable thereto.
v Use of Premises
Owne Address, /"✓�/� `'+'r s•�
Vi
By Address 2,
TRACTOR, AGENT `.�
_ _ ,,ll Approved �'�l/ l ,, ��`
Phone: V ELECTRICAL INSPECTM
J - NEW HPL FEES
Size Service Conduit.-_._...............Number of Outlets-.---------------- . ._ .--���
/ I /rlD
Size Service Wires-------------_---.----...Number of Switches---------------- ./. ....._._L.L. . .
2.
Size Service Switch-----------------------Number of Receptacles... .. 60
Size Sub Feed Conduit------------------Number of Fixtures —I/15/-------- D_
Size Sub Feed Wires------------------Ranges---------/--- KW.----------- -- -- ---------- .--.---
Number of Circuits------------------ Oven ------------ KW------------ --------- --------- --------------
Number of Meters------------------------Signs---------- Transformers-------- -.---..--- ---------- -----.- -/-.:.
Misc-------------- . . Dryers----"---..... 1 ------------ --/-- -------- -------l.-J�
Motors..--.-.--- HP---_/.. Phase-----j .. Permit Fee $1.00
...
Motors-------------------- HP.------------------- Phase------------------- /OD
Motors-------------------- HP------------------ Phase------------------ H P Charge.------- ----- --------
--- -
TOTAL FEES
OF INSPECTION APPROVALS
Rough Wirin� 's .
Fixtures ---------------------- -
DATE INlP[CTON DATE INSPECTOR
Finish Wiring ........
-------1....................._. Motors _...................
_1............................
PATE INSPECTOR DATE INSPECTOR
Final -------------------------- ---------------------------
PATE INSPECTOR