1696 i
NO.
PL`ICsA;'fl�lil ELECTRICAL PERMIT
QCI 1pc61QF CUPERTINO
JJ VV LL
Date / 5— Permit No.
Fee $ I Zq'
Applicationhs 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 agreesito 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.
v Use of Premises
c
V
a Owner 7 // � (J Address '
By /<Y' elite hG Address
�y 9 CONTRACTOR, AGENT
Phone: C__,si r�'% 7��'� 17 .Approved
EL IGLINSPEC701
. 7
NEW RPL FEES
Size Service Conduit..1Ar........Number of Outlets---------......... .'.. ...... ...
..�..._� .
Size Service-Wires... 4.4....-2----------Number of Switches................ ...D
//II / �O
Size Service Switch�w.n�..}T�.._Number of Receptacles............ ..G... .......... ........
Size Sub Feed Conduit..................Number of Fixtures.................. ..d.. '......... �r.
Size Sub Feed Wires...................Ranges.......------ KW.....-------- ---------- -------- ----�
Number of Circuits.--------------.-- Oven ----/...... KW... ?.X_
Number of Meters......../_-----------Signs---------- Transformers........ .......... .......... .............
Misc........---------..........................Dryers------/----------`----------------- ---------- ------... .....---------
Motors....4,_....... HP...51Zr?:Cr... Phase-------------------- - Permit Fee $1.00
Motors------------------- HP.................... Phase------------------
Motors-------------------- HP...---'----....... Phase-------------------- H P Charge.. -----bol
TOTAL FEES 9,
g�CO INSPECTION VALS
Rough Wiring//,/J,-"- --- ...:------------ _ �Ixtures ........... ---.._-- -------------....._.....
1 OR E INSPECTOR
Finish Wiring .......:........ ................... ..... Motors -- ---------------�- --------
1
DATE INSPECTOR ` r
Final /.- -----------.... _....................
DATE INSPECTOR
OFFICE COPY '
'ELECTRIC SERVICE NOTICE '
- BUILDING INSPECTOR'S OFFICE
CITY. OF CUPERTINO
.. -----------------/7 -----------, 196..t�.. . .
To
You are hereby author' ed to connect electri ervice
Owner or Tenant ---
At
No.�of Wires .1p------------- Size of.Wires o.....:...... Size of Switch/,: /",-.
Motor Load ------------------------- Voltage ,......------------------------ Phase
HeatingLoad ------------------------ K. W. ........................... . Voltage
------- -------- --------------
No. of Meters... Light............... 110..`, /. New Service__.✓'. Reconnect..................
Heat................. 220.0.. Three Wife-------------_ Move Service......._...
No. of Add. Meters.:......-...
Power............... hale:.....:......... Move Meter..............
_..
1041/63-500 .y.. ,J�, ....,, - ...__
ELECTRICAL INSPECTOR -