983! q G zoI
NO. STREET LOT NO.
VMAR1 G�� OR ELECTRICAL PERMIT•'W �gJ' . OF CUPERTWO
Date �•, 19ne� Permit No.
Fee I- 2 'Z—'k
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.
Use of Premises �7�144,
r
v
:a
Owner / �y� a �1�i�(i
Address
.
By�
Address
CONTRACTOR, AGENT
Approved
Phone:
E ECTIucAL wspEcrua
3 -�/
Size Service Conduit --- `y.............Number of Outlets..................
Siie Sc'vice Wires... ..............Number of Switches................
Size Service Switch.../".y---------Number of Receptacles....... -----
Size Sub Feed Conduit..................Number of Fixtures...... ------------
Size Sub Feed Wires....................Ranges.............. KW ..............
Number of Circuits ................... Oven !............ KW ..............
NEW
RPL FEES
Number of Meters......................Signs.......... Transformers ... .---- ......--- ---------- ---1..........
Misc....-------------------------------------------Dryers .. /.....------------------------- ----------------- -----..7.57
Motors .....�/....------ HP .................... Phase ._-----------------
Motors .................... HP .................... Phase ------------._.--- Permit Fee $1.00
Motors.................... HP .................... Phase ------------------- H P Charge................./.1.4..
TOTAL FEES ;2" X -f
Rough Wiring/Q��/{� .. I�............. ....... Fixtures �..�
O'/ T .I. R JrFmal
,Finish Wirin ......otors .OATC IXIR[CTORAT --G.�...6. -----
DATE
ELECTRIC SERVICE NOTICE COKE
n�I �Z BUILDING INSPECTOR'S OFFICE COPY
III J , CITY OF CUPERTINNO
I�
To .......................z5v ............................... 1961.
I
You are hereby authorized to connect the ELECTRIC service
/ r
Owner or Tenant ... (..- - i! U I - / %-
No. of Wires ....j'2 ............. Size of Wires t -n- ........ Size of Switch 10.a.4.
Motor Load ............................ Voltage .......... Phase ...
HeatingLoad ........................ K. W. .................................. Voltage
No. of Meters..
Light ..............110 _.'f ...... New Servim �..........Ream.ed ...............
No. of Add. Meters ..........
Heat ..._......... 220 xf�........ Three Wire ..................Move Service .........
Power .............. Three, Phase ..........._.....Move Meter ....... _...
104 1/60-300
- �ELECI'RICAL INSPECTOR