51075 (3) i
Io7 � p
No. xEEr a Lo o.
v OR ELECTRIC PERMIT
OF CUPERTINO
Date - ' 195— Permit No.
ace
CITY OF COMM pee
N90 App kati
on Is hereby made to the City of Cupertino for a permit to install elediical
liting and/or fixtures as, listed on the reverse side hereof, and agrees to install said
wiiing.and/or fixtures�in accordance with,the provisions of the'Electrical Code of4e
NJ Jcity of`,Cupertino, and all other laws applicable thereto. %)
` � - G�
v efUse of Premi 0
r — �AR Address
By 2 - — EGT 6 Address �S
rrrxn J � '
Approved
/ Phone: llz� ELECTRICAL I FECM vu
NEW RPL FEES
Size Service Conduit.... ..----.-.----Number of Outlets----------------- h---.. ..........
L .......
Size Service Wires........ -------Number of Switches----.------- - _ .._..---. ... /.-.--
Size Service Switch---- d4�-��dGTlumber of Receptacles------------ -�. --- ---._---. ---! /G�
Size Sub Feed Conduit..-././V-Number of Fixtures_- ----- -------- . .Y
�
/� -------- --/-'---'
Size Sub Feed Wires---_...�/-..---'---R�g�--------'--- Ifl��l---- 1/1.(... .-------- -d,-------
Number of Circuits......--'---....--- Oven ------------- KW-------------- -------- ---------- --- ----------
Number of Meters.........I------------Signs---------- Transformers------- -------- ---------- ----..-.-----
Misc------------------------------------------------Dryers------------------------------- ---------- -------- ------------
Motors----- -------------- HP-------------------- Phase----------------
Motors.............._.... HP-----.-------------- Phase----------------- Permit Fee $1.00
Motors------------------- HP-------------------- Phase........--- -------- H P Charge------------... ..-- ---'---
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring................ ............................ Fixtures -------------------- -.. ------
OATS INSPECTOR DATE INSPECTOR
Finish Wiring --------------- --. --- otors ------...'---- ----- ----------------------------
tFinalDATE INSPECTOR OATI IN/I[crDe
---------------- ....- �--'-"" -.-.........
DATE INSPECTOR