250214
'- IPS t
LOT NO.
PERMIT
DEC 3 1863 l ,'
Date « 2-- , 194 Permit No.� •-'�
CITY OF CUPERTINO Fee �—s`%
Applirltion is hereby made, to t e 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
By/&=La .P�[e-L.. C V_J
,gelpd. P CO_ NTAACCOR, �ACjEyN'I
Phone:
o,
Address
Address S/D kl,
Approved
:'ELECTRICAL INSPECTM
Size Service Conduit ---------------------- Numltr of outlets ...... ..... ..._.
Size Service Wires -------------------------- Number of Switches..............".
Size Service Switch ........................Number of Receptacles........-.".
Size Sub Feed Conduit.............._..Number of Fixtures.........':.".`."..
Size Sub Feed Wires .... ...............Ranges................ KW
Number of Circuits ------------------- Oven .............. KW.
NumberofMeters---------- .-----------
.Signs ----------
Misc.----/ ....Diq
Motors '------------ ------. HP ------------------
Phase ..
" Motors -------------------- HP -----------------
Phase ..
• Motors ------------------- HP -------------------
Phase -.
' RECORD OF INSPE(.
Rough W.iring..........
• - DATE INSPECTOR
Finish -Wiring - - ............ . ........
t 9C SM1� E i1 DATE IN9P[ TOR
a- i Lr. ! Zy � �•i
_ . 00
--------------- Permit Fee $1.00
---------------
--------------- H P Charge----....-----
- --------- -'-
TOTALFEES .3o O
IONm`APPROVALS
Fixtures ....................---
DATE., lx$P ECTOR
Motors
•� /.,`
!Final . i �_ RATE `' .. r_ I�X e'PEOTOR!r 4 Y.TFi
DAT[ It IxfP[CTOR'¢ct`C0001—
h :x.
OFFICE COPY
ELECTRIC%§ER'*ICE NOTICE
BUILDING Ij TSP R OFFICE
CITY OF CUPEUPCRTINO .
' I
To '
You are hereby authoriztq connect -.electrical service for
Own/e �er nant-------------------ry-1--- .............
Acv..------------------------------------------------------------
No.
-----
No. of kres ............ :... Size of Wires ----- ..y...ize of Switda,..1
Motor Load -------------------------- Voltage ---.------------------ ...... Phase ........ -'---
Heating Load ........................ K. W.... ---------- Voltage .... .------- ---
Li ht ...... 110............ Nm Service._ .._...
Reconnect..._._..___.No. of Meters .........._........,Heat .................
-
^_20.._........ Three Wire ................ Move Service........_.
No. of Add. Meters............ � � � Power.. .... ree P se.........__ Move Meter..._
r ,v 104 1%,69-500L2CTRICAI INSPECT
mss.