2413 CJ�� l0 SYruFti .:e�,s.i�NO. STREET 0 LOT NO.
fVIMS- �F��Ig�`+.ELECTRICAL PERMIT
jjl� EP 81963 �PERTINO
Date /CITY CUPERT':�?F Permit No.
Fee
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.
Q
v Use of Premigeg
v
a Owner 7-4,41141
,4 ' il), 109 Addresc2-2-:"76;;��P1✓-�ot rN S
ro By / Address
CONTRACTOR, AGENT
Approved
Phan,: f S �'� �! / ELECTRICAL INSFECT02
I NEW RPL FEES~
h
Size Service Conduit.................Number of Outlets................_ _ ..... ....._._�. , C-,o
Size Service Wires...�D-------------Number of Switches------.------ _ L.2-4,0
Size Service Switch------- -----------Number of Receptacles------------ -34...
Size Sub Feed Conduit../.M
...........Number of Fixtures------------------ ---------- --------
- _....,._,..-
Size Sub Feed Wires-- ........Ranges.....3----- KW.............. .-------- --------- -
Number of Circuits------------------- Oven ...3...._ KW----------.--- -------- ------ ---'-
Number of Meters-------- ..............Signs.......... Transformers_...... _......_ ---------- -------------
7 1
Misc------------- ............ .......Dryers........ ..------------------------ ---------1-------- 1C 63
Motors......---- HP r .... Phase.................... Permit Fee $1.00
Motors---------------- HP-------------------- Phase--------------------
Motors
-------------Motors.................... HP----------------- Phase-------------------- H P Charge-- . -------- /A.4—
TOTAL FEESG, I3-
COR INSPECTION APPROVALS
�- .
�-
Rough Wiring-�-�� ---•- - - - ---- Fixtures ....---------------- ---------...-------
OATEI..I NICCCTOR DATE INSPECTOR
Finish Wiring .. .. Motors ..........-- ----------------------------
DATE INSPECTOR DATE INSPECTOR
Final -------------------------- ----------------------------
DATE INSPECTOR
Multi-House Electrical Inspection Card
Electrical Permit No. ....................
APT. ROUGH FINISH
NO. WIRING WIRING FIXTURES FINAL
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