2555 ell eo
STREET �� LOT NO.
N t
Y g �y�L...OR ELECTRICAL PERMIT
OF CUPERTINO
3JAN 3 196
o 353
Date 195— Permit No.
° ` I�� OF COMM a - a
a m Ap9fitafion ishereby 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
4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 m City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises 4 d5F e rX
0 d7 �
o
3 G `. Vwne 5
— N -<B� A v ' _ Address
Q O CONTRACTOR, AGENT A roved
PP
—V Phonc: -2 S 3 S ELECTRICAL INSFECIm
Siat j �tiLN+1
NEW RPL FEES
Size Service Conduit......................Number of Outlets--------- ........ ........
Size Service Wires......................_.Number of Switches_-------------- ---------- -_------- --------------
Size Service Switch........................Number of Receptacles............ . l 6-0
Size Sub Feed Conduit------------- ----Number of Fixtures------------------ ---------- -
Size Sub Feed Wires-------------------Ranges---------------- KW----.----- ---------- -- ------ .......-------
Number of Circuits................... Oven .............. KW-------------- -------- - -------- --------------
Number of Meters._.....................Signs.......... Transformers.-.--- -.---. --.------ --------------
Misc------------'--------------------------...Dryers....------------------------------ --------- -------- --------------
Motors---------------- HP.................... Phase......-------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase------------.---
Motors-------------------- HP------------------- Phase-------- . H P Charge-----...------ ------ - --
TOTAL FEES la'- -
ECO F INSPECTION APPROVALS
RoughWiring� .G.. .:--I--- ---------------------- Fixtures ..................--I------
T[ INSPECTOR CET[ r[CTOR
Finish Wiring ......-------` - - - -- Motors ------ --- - - -- ------- -------------- ---
OETc Ixsr[LroR OST INsr[croR
Fina .... ....-'-----�-j -- ... ..... ......
O1 E IRv[croR