1183 wY.�a.0
NO. STR'ET LOT NO.
. 71 1® IR ELECTRICAL PERMIT
:f OCI/2 ; 19 * OF
/CUPERTINO .
Date t �' 1 ,I . ', 19C Permit No. ' t u _
T CITY CF CUPERTIIO 1 i "f
Application is hereby made to t e City of ,Cupertino for a permit to install electrical '
. wiring and/or fix'tur -as-listed,on thc.reyerse side.hereof, and agrees;to install said
wiring_and/or fixtures in accordance with the provisions of the Electrical Code of the
r City of Cupertino,—and-all o heiilaws applicable thereto.---
i�t'!!d'6'9 t rah{' e4 .✓•+•�"'^" � h'
v Use of Premi _
- w . �... )
-� 1 Oner Address
� BY
(
CONTRACTOR, AGENT:� 1
I
��P,hu c ELbCfRIGl INSP6CS01
NEW RPL FEES
�I .
Size Service Conduit......................Number of Outlets...............;. -- ---7---
...... .
-----------
-Size Service Wires..... -------------------Number of Switches............. -----Y.. ........... ...
Size Service Switch........................Number of Receptacles........... .2 3i
--- ---------
210
Size Sub Feed Conduit..................Number of Flxturcs_.L_:........... .... .......... .I-------------
Size Sub Feed Wires--------------------Ranges------/------- KW... ......... --------- ---- ----- --------
Number of Circuits................... Oven ---- KW_
------------ .......... ........ .........
Number of Meters........................Signs.......... Transformers........ ........:. -----
Misc-------------......1--------------------------Dryers....I----------------_-------
Motors::...A........... HP----:--------------- Phase------------_-----
I Permit Fee it F $1.00,
Motors---"............... HP...!---------------- Phase---------'•_......
--Motors-.------------------ HP.................... Phase......... -------*-.--H P Charge-...-
TOTAL FEES
INS
Rough.Wiring lC, .................. - ------------
" DATE ........ INSPECTOR
--------------- .......
Finish Wiring ----------- -------------------------
PATE ...A.T..
INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
f, BUILDING 'INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
........:.:.......,/0%� ........ ...... --------- 196J ,
To
You are hereby aut d to connect the ELECTRIC selrr�rY�
hl �
''Gamer or Tenant'._
s nE
9�a.-. . .. .. � =-
No of-Wires .. Slze:of Wtres?-".h--:'; Size of Switch-10�
Motor Load ... - .... Voltage ' .. -... ....... Phase.... -" : f
:-.. .
,° Heating Load"` "i .K :W. ... .... Voltage
... `
--------------
"No'of to _ �T••�Light .l to �...... New Servicer Reconnectt"1 •�`�F 'n'
k.
T� hre
Te Wire ... .... Mose Service- ..���
Heat 220 r
Power .....__ - e ` hase---------------_Move Meter n
�K
. f
0o i/lo 5007 'ELECTRICAL, INSPECTOR IY
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