2752 DI.� STREET 'LOT NO. 4j
Y oIFOR ELECTRICAL PERMIT
a - D .ITY OF CUPERTINO
3 LL MAY VAY 2 0 1 4
4 10
Date195— Permit No. 697
o
CITY OF CUPER?ivy Fee s i 6v
a m Application is hereby made to the City of Cupertino for a permit to install electrical
w i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
r �
0 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable thereto.
F3
z Use of Premises
� ���� Owner ���' Address
W W By HEATH ELECJ,TT�RR5_IIC
a o 0 . � CAefKDkN1A hotr+)C4irARVNrl6 4422 n'" h^n
U Phone: ELECTRICAL INSPECrC1
State License:_ ��
NEW RPL FEES
Size Service Conduit P':Vr.� Number of Outlets....-_- --------- i7. ._...__ --------- ----
Size Service Wire her of Switches._...._.......---d--- --------- ..............
Size Service Switch--/-5�A'-9-....Number of Receptacles------------
--------- ---------- -.....
Size Sub Feed Conduit..._............Number of Fixtures.................. /7. .........-
Size Sub Feed Wires....................Ranges........ r KW------------ ---------- ---------- --------------
Number of Circuits.......--......... Oven ....../..-.- KW....--------- ---------- ---------- --------- --
Number of Meters---/-----------------Signs...... .. Transf.rr, 1
C -- -- --- ----------
Misc-------------- - Dryers
Motors--------- - -------- — Ph*a*.s--e"*--------------- --- -------- - --------- -- ---
Motors-------------------- HP-------------------- Phase-------------------- Permit Fee $1.00
Motors-------------------- HP-- Ie6
Phase-- ----------------- H P Charge----- ---------r... .......
TOTAL FEES
JDPL&�F INSPECTION APPROVALS
, I
Rough Wiring --------- Fixtures ----------
TO
,N DATE
Finish Wiring . ..........7-11................. . Moto I
DATE INSPECTOR TL TOII
Final
DATE INSPECTOR