2759 og
NO. STREET LOT NO.
N Q
r oOR ELECTRICAL PERMIT
o a ® I OF CUPERTINO
w� (MAY 22 1964
`o F Date
MAY 2 0 1994 , 195— Permit No. 5
CITY OF CUPERTNO Fee S /s 00
a 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 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 N City of Cupertino, and all other laws applicable thereto.
03
z J Use of Premises
J 0
3 a
Owner' �� � Address
N HEATH ELECTRIC Address
w w By P n o _
u y �EQZ@Eox;'A4nFORNIq Approved
ao
U Phone: ��n'MNSi9
State License, Phone Phone ELgato 6.4422
NEW RPL FEES
�
Size Service Conduit....._....'.... ......Number of Outlets--- ......__.... ....Q. ...... --- --------- ....
Size Service Wires...... --------Number of Switches......... ...... /7
Size Service Switch...��`r...jl.�.Number of Receptacles............ -_..... .
Size Sub Feed Conduit------------------Number of Fixtures-----_---- .------ ---------- ---------- ----
Size Sub Feed Wires--------------------Ranges----------. --- KW------------- ------- ------ -----------
Number of Circuits................... Oven .� ........ KW..,-.-------- --------. .---.--- -oZS
Number of Meters ............._..Signs.......... Transfo� s...._.. .......... _-------- �:_4.d
/T _- - S
Misc--------------.. ....------------------ Dryers.---------/.......... ----------- -- -------- -------- ...----�. .
Motors.... .__--. HP. . .... hase__.............._
Motors-----------------... HP.................... Phase----------- ........
Permit Fee $1.00
Motors------------------- HP.....-- ----- Phase.................... H P Charge----....------
TOTAL FEES
q OI�D� OFF INSPECTION APPROVALS d
Rough Wiring--- -��. ......L.L.-----.._..'----------- Fixtures '--------------�. ....... ..................
01 L .- IMS[ECTOR / OTE /M[R[CTOR
Finish Wiring ....----E..... - - Moto 575 ......... �------
o[rz �Ra[<Toe 1 2 0 en r[croR
Final ............�--'---.....-----------
TT INST[cr0.