2570 NO. STREET LOT NO. /
N Q
r o AA;GION FOR ELECTRICAL PERMIT
0 -
fco
I OF CUPERTINO
u
w ° " �5 0
j 0
Date 195—, Permit No.
° < /� �/ Fee 5
<w lYg�l�[}tioQFS h Af% t; the City of Cupertino for a permit to install electrical
w L 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
> m City of Cupertino, and .her laws applicable thereto.
oa
2J Use of Pr 'ses
JzGJ °
3 Own Addres y�[�
N
W w B _ Address '
0o NTRACTOR, AGENT q pproved w
—L)
P h o n c: 7 ELECTRICAL INSPECTOR -
State Licensez p�
NEW RPL FEES
Size Service Conduit......................Number of Outlets...... �----- a?'"20
---
Size Service Wires......................._Number of Switches................ _ ._....--- ----
Size
Size Service Switch-------------------------
Number of Receptacles------------
--------....T. �� --
Size Sub Feed Conduit..................Number of Fixtures..........___.. - ._------- '_'Z O
Size Sub Feed Wires....................Ranges---------------- KW----------- ---
------- -----... ..... 7�
Number of Circuits................... Oven .............. KW----------- -------- --------- --- 7�
Number of Meters........................Signs---------- Transformers.--- -------- ------- ------_----
Mist----------- . .............:�.).4-Dryers..-----------.........-------------- ........ T-�✓-
-------- --
Motors....... .........-- HP.-......._ . .. Phase.................... Permit Fee $1.00
Motors----------_----- HP.................... Phase..........----....
Motors-------------------- HP-------------------- Phase------------ .-.... H P Charge.......------ZZ - /BjD
TOTAL FEES
{ EC OF INSPECTION APPROVALS
Rough Wir n�..:. --L-----�--`---...._.............. Fixtures -------_'T---------�----.._-.......-----
♦T[ ... IM51[CTOR 1T[ I SR[CTOR
Finish Wiring ................ ... Motors
O[T[ IR[R[<TOR / [..T[ I [I[CTOR
Final ____
.. .. ..-'DAT .. ..
t. INSPECTOR