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NO PERMIT NUMBER (2) V• NO. RRRT L07 NO: APPACATIO ECTRICAL .PERMIT �. C RTlNO ,! N:. ,.r.. ;. Date �;:h': ;,c+.,,. � 95 �.•Permit No. ,�_.. D . .. • ,� ; ::.� y� � Fee. . ; �. �;: . :: Appliation is hereby made to the ity o up ifio fo 1� ft•to install,electricll i.. wiring and/or fixtures as lisi +reverse;ide hereof, and. reei'to install saw wiring and/fir fixtures irE accgn fi,�el a ltri ttie provisions af tfiC^ Heal•Code of the City of Cupertino, and all other laws applicable thereto. Use of Premicot +� e 3 Owneri�f�%i Address o hBy _ _� Address f.OWMALTOR, A •t .' •. . r A roved 4 r� ,F ":�/ pp EXAALtu% &sracrm v lone• .�: if-f RPL FEES Size Service Conduit.../..............Numbe lets-- .__........... .......... .......... .............. . r `f 'itchs Size Service Wires......?�---------Nummbe '-,itcb I:------------- --/*- ---------- ------t A-9 Size Service Sw .... .# 'r itch.14-0-44----Number ece •les............ ----- .. .... . ...t.. Size Sub Feed Conduit---------------..Number of S----------------- ---------- ---------- -_------...-- Size Sub Feed Wires...------- ------Ranges....../........ KW-------_----- ---------- ----------- ------- Number of Circuits.._.............. Ov6n _/--------- KW.............. ae...... .. ------ Number*of Meter's...............:.......Signs.......... Transformers....... Mise.--- ................. D yers.....( ...*1.� *.-) i:�- M Motors............. ----- HP------------------ --- ---- Permit Fee $1.00 otors;......... .......... HP Phase........ Phase-------------------- Motors.................... HP-------------------- Phase-------------------- H P Charge_----------- TOTAL FEES I f- e) RECORD OF INSPECTION APPROVALS i 16� Rough Wiring............ ---------------------------- Fixtures ---------------------- ------- DATE INSPECTOR I S,ZC Finish Wiring ................ ......................... 5EM,�....... ... PATE INSPECTOR .E DATZ INSPECTOR