2693 NO. 'REST - LOT NO.
rbR ELECTRICAL PERMIT
' APR 21 196�+ITY�,OF CUPERTINO
Date L 191 Permit No.
I ,' '.11,
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 applicable thereto.
�,,�/
Use of Premi
Address �oi'�"'µ ` `�«'•:'
B al� .LC - 1GCi Address G -Y �•
CONTRACTOR, AGENT OOF
����� 7/
Approved
yp� Phone:. ELECTRICAL INSPECTOR
r
—NEW RPL FEES
Size Service Conduit.. ._.............Number of Outlets..... .___._. .
---I �T
' S7`
Size Service Wires... Lyt....Number of Switches-_----_._.... 1Y ---------. .
Size Service Switch./k d r Number of Receptacles-.......... 1 �--:..
/--Q
. --------------
Size
.------0-
-
Size Sub Feed Conduit------------------Number of Fixtures....... ---------- zY----------- -!540.
Size Sub Feed Wires------------------Ranges...... ....... KW-------------- ------- ------ -------------
Number of Circuits------------------- Oven ---I........ KW------------ --------- --------- A.
Number of Meters..........._.....Signs.......... Transformers...._.. .......... .......... /:�&
Mise--- ------ - ---...Dryers._..------------------------------- ----- -
Motors-----I----------- HP_ - - --- --- Phase.........--------
Motors------ ----------. HP--.....------------ Phase-------------.---- Permit Fee $L00
—
Motors-------------------- HP---------------- Phase----------- ----- H P Charge---. ..----- 1
TOTAL FEES
EO OF INSPECTION APPROVALS
Rou h Wirin . . y. Gly ... -- Fixtures ..._._..............
- - -
B ----'-- ------- --- -
g
-E----
AT INf1[CT ➢AT[ r�INSA[CTOR
Finish Wiring ....:... ...... r------------------_-
.... Motors ----- .e�. �k..........._.`....
DATE INfrocrON I ar/ -_-
Final
rop
Final ...... ( :-1.-..i.' ..... . .............
➢AT[ INSPECTOR