2387 NO. STREET LOT NO.
D A ELECTRICAL PERMIT
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YOF CUPERTINO
�,f SEP 1 9 .
Date 1916�Z Permit No. C�238
CITY OF CU ERTNr!' Fee
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 laws plicable thereto.
v Use of Premi— `
c
Owner Address
i1e
v O
ro By Address
ONTRACTOR, AGENT
Approved x
Phone: ELECTRICAL INSPECTM
NEW RPL FEES
Size Service Conduit.................. Number of Outlets............... .. . ..
Size Service Wires_................._....Number• of Switches--------.__..
I
I � ----a
Size Service Switch-----------------------Number of Receptacles.-------.- ---f-- ---------- -----------
Size Sub Feed Conduit..................Number of Fixtures..........._....- ... .... .......... /�D
Size Sub Feed Wires-------------------Ranges.......,/---- KW----.....--- --�---- ---------- ------7
Number of Circuits----._..--------- Oven .............. KW----------- --------- ---------- -------------
Number of Meters........................Signs---------- Transformers........ -----/--.-- ---------- -------/-.y-{-
Misc----_-------" ---------... .....Dryers----------F----- -- -- --- -------- _! /..1'
Motors--------- HP...-.,c Z....... Phase----------/ --- Permit Fee $1.00
------.
Motors_...------------�- HP------------------. Phase-------------------- D�
Motors------------------- HP.---------------- Phase........_.-....... H P Charge.----------- -
- ------
TOTAL FEES z) ka
OF INSPECTION APPROVALS
Rough Wirin�0.`.1.0 ».>` ..... Fixtures ....... .............. .---.
- - -
- ------- ------ --
DAT[ INSPECTORDATE INSPECTOR
Finish Wiring ----------------I..--__................ Motors .------------.........
------------------.....---
DATE INSPECTOR OATS INSPECTOR
Final ..........................�............................
.DATE INSPECTOR