2414 /0700y-1)e`r a,-i L&O g �G
NO. STREET LOT NO.
ELECTRICAL PERMIT
'I SEP fl 8196 CUPERTINO
Date �5_ Permit No. /
f� ' Fee h ��,
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.
v Use of Premise 3 /V/>i� al-2/
v �
;a Owner S / 05Address,
m By Address I '°
h CONTRACTOR, AGENT
f� _ G/n, Approved
yn� Phone: � 010CTR[GL INBPHCMI
NRw R1IL FEkS
Size Service Conduit..aZ..............Number of Outlets.................. .Li ... ..........
l.lc_ �7
Size Service Wires...A...............Number of Switches................ 524.. .......... .'.
Size Service Switch........................Number of Receptacles............ &
Size Sub Feed Conduit./-0..........Number of Fixtures.................. .......... .......... ..............
?? d
Size Sub Feed Wires................... anges-3......... KW.............. .......... .._.....- s.
Number of Circuits........t.......-- Oven ........ KW.............. ......... .. ...... .
Number of Meters..... ?...............Signs.......... Transformers........ .......... .......... ..........
.--•
Misc.. .................... Dryers...e................................ ... ... S
motors—r...:........ HP�.tas,►....... Phase....................
Motors.................... HP.................... Phase.................... Permit Fee $1.00
Motors.................... HP.................... Phase.................... H P Charge.. /
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring..........9..... .... Fixtures /
DATINSPECTOR OAT INSPECTOR
Finish Wiring........_.. .......... otorsjj
DATE INSPECTOR '` Ar J IXSPEOTOR
Final ... ••-,`
f _:..... ..........
D 9 �• INSPECTOR
Multi-House Electrical Inspection Card
Electrical Permit No. ....................................
APT. ROUGH FINISH
NO. WIRING, WIRING FIXTURESzo
FINAL
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119 1/63-500