2769 NO. STREET r LOT NO.'L/
f o riodi ELECTRICAL PERMIT
0 - CI CUPERTINO
OJ 44
3 u I MAV021P46
0 Date 195— Permit No.
CITY OF CUPERTiNO Fee 5/ 6 . 00
< 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
0 0
wiring and/or fixtures in accordanrc with the provisions of the Electrical Code of the
5 m City of Cupertino, and all other !axis applicable thereto.
03
o <
z _j Use of Premises
0
3 a Owner \ Address
W Z P. 0. BOX 635
w W Byavfft eftwoptfflA _ Address
OCONTRACTOR, AGENT `j pproved _.
-U Phone: -=�NS►Ew_
State License: �C�� Phone ELgatO G-4 422
_ nq NEW XP1 FEES
Size Service Conduit...• .--iC ....Number of Outlets.---------------- -- ----
Size Service Wire .........._.Number of Switches----------------
-- ------- ----- --------------
Size
--------------
146
Size Service Switch.. i--------------' Number of Receptacles------------ ---------- ---------- ----_--------
Size Sub Feed Conduit------------------Number of Fixtures............ ..... ' .......... .�U;oo
Size Sub Feed Wires-------------------Ranges------- ------- KW--------- .... .--------- ------ ---"------
Number of Circuitr........'--------. Oven ------/-. KW......._-... ...-.--. ....._._ ...... �7F Number of Meters... .__...._..._Signs.......... Transformers........ . ---- --------Misc.--------------- -----`- ---.Dryers.----------/-------------------- ------.. .......
Motors......... HIS,/ Phase-------------------- Permit Fee $1.00
Motors-------------------- HP.--------------- Phase----------------
p/Yotors-------------------- HP------------------ Phase--------- ._ H P Charge----- -------- �B.d
R2,—Idl- S• S TOTAL FEES IJ
/ SEC OF INSPECTION APPROVALS d
Rough Wirin Zz- /..C.-C2 ----..... Fixtures ------------------- ---
OATj IxSR[C OR DAT[ IMSR[CTOR
Finish Wiring ------------- -- .. Motor -. -- --. -- .................
... .......... .
oArz Ix[r[croR A� xsr[croR
Final
DAT[ IRSR[CTOR