1998 ea-
NO. STRE LOT NO.
rmAY
PPLIC'ATION FOR ELECTRICAL PERMIT
1 1963 CIMY OF CUPERTINO
Date 195— Permit No.
Vl l 7 Or UUFLI\ ' Fee 5 p�. �d1
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 laps applicable thereto.
v Use of Premi
c
v r
7tPhone: C
a^ o Address �7 S( S kc (n�
AddressNTRACTOR, AGENT Approved
—� SZI S E CAL INSPECT=
NEW RPL ,FEES _
Size Service Conduit."-"._..._ ------"_Number of Outlets--------------- ._�."" ."--- -_ ._ /.0..
21
Size Service Wires-------""""-"".""""._---Number of Switches_-------------- ..""""""
2d
Size Service Switch.....-.--"""""""""...--Number of Receptacles.......".... ------"""" ---------- ----------""..
Size Sub Feed Conduit""""""""".------""Number of Fixtures"."-------"""...-- --/ 0
Size Sub Feed Wires--------------------Ranges................ KW-------------- -------- ------- _-----------
Number of Circuits.------_-------. Oven ......... KW......------- -------- --------- -- ----------
Number of Meters........................Signs---------- Transformers------- ---------- ---------- ---_..-.-----
Mise----'-'-- - ---.-.". Dryers----------------------------------- --------I--------- --------------
Motor 1. "-_ HP...-3
."" Phase........------...
- -----------
'� """""""" Permit Fee $1.00
Motors-------'-'------ HP.................... Phase----------------- �
Motors------------------- HP----------------- Phase----------. ..... H P Charge------------- ----7-A.
TOTAL FEES k •L /
RECORD OF INSPECTION APPROVALS
RoughWiring---------------- --------------------------- Fixtures .... .. ......... ------------------------
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ................ ......................"". Motors ."...I--------....."-------
DATE
INSPECTOR DAT[ IN CCTDR
Final "......... - ....." - ...--...........
OATS INSPECTOR