2078 rv, 5NO. STREET "'t• LOT NO.
IN RMELECTRICAL PERMIT
���� CF CUPERTINO
JUN 17 963
Dat �T�/ (�C 'ID �• p', 1� Permit No.
ppc, 6 YA ��(t� �1 �,v� Fee $
Ap i tin t ere a 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 Premi
Owner I r
:yG By . w-+-.fai Address
tt CONTRACTOR AGENT
. .a Approved
(lt'{ionF•'�'4'- y ELH GL INS/8GT01 ,t
NEW RPL PEES
1,
Size Service Conduit......................Number of Outlets.................. .......... .......... ..............
Size Service Wires..........................Nurdber sof Switches................ .......... .......... ..............
Size Service Switch........................Number of Receptacles............ .......... .......... ..............
Size Sub Feed Conduit..................Number of Fixtures.................. .......... .......... ..............
SizeSub Feed Wires..._..............Ranges................ KW.............. .......... .......... ..............
Numberof Circuits----....-------- Oven .............. KW.............. .......... .......... ..............
Number of Meters.......................Signs.......... Transformers........ .......... .......... ............:.
Misc................................................Dryers........................................ .......... .......... ..............
Motors.................... HP.................... Phase.................... Permit Fee $1.00
Motors.................... HP.................... Phase....................
Motors.................... HP.................... Phase.................... H P Charge................ ..............
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring................ .........................--- Fixtures ...................... ............................
OAT9 .....•.INSPECTOR DATE ..-- INSPECTOR
Finish Wiring ......
PATPAT9.....�. .... 4vfotors ..... TOR ......
Ixnrcro■ _ //.............�.... _ i�
EL TRIC SER IC �NO�ICE OPPICE
coI ING INSPECTOR' OFFCE
CITY 'OF CUPF.RT O
?hereby ......................1196. ..
You aau ized to c6nect the E TR rvice or
Owner or Tenant ..W!,?:l!�y�.. . -----
No. of Wires ,—.-P........... Size of Wires Ste- .o......... Size of Switch .4 :....
Motor Load .':..._i.................. .Voltage -------- ....................... Phase....................................
HeatingLoad'--i,.................. K. W. .................................. Voltage ................................
Li att...._._:.....210 ........Th Three WireeV..........._Move Servic.._...........
No. of Meters ../.c.......1 ..........:...�. i _ -. ',`�' 4 .......-
No. of Add. Meters ..........(1 - .. -
Power P e .. btov r .,--
' �ELEC11tICA U S ECTOR• "
104 1/61-500 s; ':