2724 J Z) —% C --CL- J\•t1� LOT NO.
NO. STREET
N Q
r o PJff£`s�TfOR ELECTRICAL PERMIT
3 a D GGss��`a I F CUPERTINO
IAPR 29196A
= LL a
o Date ((++��TT��// ((�� 'IpFp (, 1195— Permit No.
<N pp h�dt}bd• 'tf� y�hall�t6`��'CY y P permit
5 �G
A I is reb t rt of Cupertino for to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
o `o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable there
z_j Use of Premiseso
15- 11
- I, t
w W By/ i .ta.[� i v .i _ Address ' .
a CONTRACTOR AGENT)
i o I` / APProve Irt-\ .^/
–l) PhpRC� ELECTRIUL INS►PC7W /J
State License.
'���^�
NEW RPL FEfS
Size Service Conduit----------------------Number<of Outlets----------_ ---- --- v
Size Service Wires.._......................Number of Switches-----__------- ._-I...-. ---------- ------
Size
--'.-Size Service Switch._.....................Number of Receptacles_---------- ----
---------- --------------
Size
....-..b.Size Sub Feed Conduit-------------- ---Number of Fixtures.... ..----------- ---------- --------- ..............
Size Sub Feed Wires...................Ranges--------------- KW-------------- ---- ---- --------- -----------
Number of Circuits................... Oven .--------..._ KW--- ---------- ------I--- --------- --._---------
Number of Meters........................Signs.......... Transformers........ ...... ,I........
Misc-------------------------......-----------Dryers....------------..........------...... ...._r .I.�.ti ....----- -
'-
Motors-------------------- HP---------.-.----- Phase------------------ Permit Fee $1.00
Motors--------------- HP.................... Phase-----------------_
Moto .....----------- H ---------------- Phase-------------------- H P Charge.---------..... . -
,� — TOTAL FEES
RECORD OF INSPECTION APP/ VALS
Rough Wirin ---------------- ---------------------------- Fixtures
.ATL INSPECTOR OAT IMSR[CTOR
Finish Wiring ...._.._.-....�........---'--..._.. Motors .✓... . . .--� -------oma^"-----
MTE INSPECTOR - rSA-C v
Final --- ------- -----`- -----------------------..-
OATL INSPECTOR