2579 NO.
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VFJAN
PLICA �R'ELECTRICAL PERMIT
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28 99Ki CUPERTINO
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°0 r Date - u 1" 5— Permit No.
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< Application is hereby made to the City of Cupertino for a permit to install electrical
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w s wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
aCity of Cupertino, and at r laws applicable thereto.
z Use Of Pr 'ses
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3 a Own Address
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Q O C 'TRACTOR, AGENT APP
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Phone ELECl41U1 INf►EC[W
State License:/4 yD
NEW RPL FEES '
Size Service Conduit..--------------------Number of Outlets------------------ �. .. ......_..�..r
Size Service Wires........................_Number of Switches---------------- ..... . a 70
Size Service Switch............._.........Number of Receptacles............ -------
Size Sub Feed Conduit------------------Number of Fixtures.................. a...... ----------024.70
Size Sub Feed Wires.-................Ranges................ KW.............. . 7J
Number of Circuits------------------- Oven .............. KW-------------- ---------- ---------- ------7T
Number of Meters........................Signs.......... Transformers........ ..........
Misc.----- ----------- ... Dryers....----.. -- ---------- -------- -----7C
Motors....-.... ..._ HP.. .-5�--------... Phase.................... Permit Fee $1.00
Motors------------------ HP------------------ Phase....................
Motors------------------ HP------------------- Phase-----..._.. ...... H P Charge-------
---/- /.- -0
TOTAL FEES
CO _QF INSPECTION APPROVALS
Rough Wirin .2A. L ---- Fixtures ...................... -------------
0
. . .
8 �-- -------- ---- -.._..----- -----
D T[ INSRLCTOR DATC INSN[CTOR
Finish Wiring . ....I. . . ... Motors ice
:. . . ......... - ................
DATL IRSNSCTOII A.• HISS ECTFinal .... . O:.`T
OAT[K INSS9CTOR[TOR