2666 woo STe-VVI1J✓5 Cleo[—Ar ?21),
NO. STREET - LOT NO.
Y o R ELECTRICAL PERMIT
o a PR 1Qc OF. CUPERTICdO
s� �A 2 .7Vf{ (((���
LL w Date �� 192x-Y' Permit No.
0 CITY OF CUPERTINO Fee S
< 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
4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
0 0
> City of Cupertino, and all other lases applicable thereto.
03
z_j Use of Premises C H U r—r (d Sf i/o o L
J
3 s Owner Cu r°r<�°( A/0 U M' 0/j CHdIC'�Adress
w i B �JGRC EZf'Zcr /7 Address /�ei �3yPCJ6 �p/6°r7�
O y CONTRACTOR, AGENT �""""� Approved
PP
—0 Phone: 1 r1 ELECMUCAL rrrsrecrott -
^„ State License: 2 Z e// 7 _
�J C
_ NEW RPL FEES
Size Service Conduit..._.................Number of Outlets.................. ?f--- 3
ery0
U
Size Service Wires--------------------------Number of Switches....._...._... 7,0---- ........._to
Size Service Switch........................Number of Receptacles............ 7
''// --- ------- - ----
Size Sub Feed Conduit.. .��....Number of Fixtures............._... ) JUD
--- ------- -------- -----
Size Sub Feed Wires...' /.....Ranges................ KW------------ --------- --------- -------------
Number of Circuits---------......... Oven .............. KW--------- ---- --------- -------- -------------
Number of Meters........................Signs---------- Transformers........ ....---- -----...-- ---------
Mise._------- ---- ------ ----Dryers
....---.... -- *-----._. ....----- -----
Motors.---3. ........ HP.... ....... Phase.... Permit Fee $1.00
Motors.----------------- HP.................... Phase....................
Motors------------------- HP.................... Phase............. H P Charge-------------- ----
TOTAL FEES
R�CO OF INSPECTION APP OVALS
Fixtures -- - ---
AT / IMSr[CT011 OAT[ INSPECTOR
Finish Wiring . Motors•;------- -
01r[ Ixar[croll \ 1
Cf,
51[CTOR
J l ...
Final --- .....
----------------------
nA [ ` INSPECTOR