2388 NO. STREET �— LOT NO. .
D OR ELECTRICAL PERMIT
jV,' 0F CUPERTINO
(SEP 1 1 3�
Date 1� Permit No.
C�TI�. OF CU EtTd��^ Fee
App Ica ion Is herehy ma e to thi 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 applicable thereto.
0
v
Use of Premi
a Owner Address S F
By _ Address
ONTAACTOR, AGENT 1
_ Approved ,Q.,
n Phone: ELECTRICAL INSPECTOR ,�/
_ NEW NPL FEES
Size Service Conduit....... ..............Number of Outlets.................. ....
.......Number of Switches................�o.. �O
Size Service Wires..--....-------- -d - -......-I-.
Size Service Switch.............__..._.Number of Receptacles------------ ... - ---------- .lT._...
Size Sub Feed Conduit------------------Number of Fixtures------------------ -/ -------
Size Sub Feed Wires-.................Ranges------/ --- KW------------- --/---- --------- --------
Number
------Number of Circuits................... Oven ------------- KW-------------- --------- ---------- -------------
Number of Meters-------................Signs---------- Transf//ormers........ --.....-. ----.--.- .-------r
Misc----------------- - - --_------�- ------Dryers----....---------.L...--------------- -- .._�---------- --.... J
Motors--------- HP.../- --?—. .. Phase.................... Permit Fee $1.00
�-- ---
Motors....-------------. HP.........--------- Phase---------------- /
Motors.....-------------- HP-------------------- Phase......---------- HP Charge-----------------I2- O
TOTAL FEES
Rough Wiring
O F I
ONSPECTION APPROVALS
... ....I...............-------- Fixtures -------------........I------------------
DATE INSPECTOR DATE INSPECTOR
FinishWiring ......---....--�------------------- Motors --------------------- ---------------------------
_DATL INSPECTOR DATE INSPECTOR
Final ..........................�--------............--------
DATL IN PLCTOR