1045 (2) NO. ST0.EET LOT NO.
APWCARON FOR ELECTRICAL .PERMIT
® OAS toP CUPERTINO
Date � 'WWI 1 � 1�_.,L Permit No.
AgpttrnQfer `,'�1Td� lt�ip�ity of Cupertino for a permit to install electrical
wam ane{ or Stu asli to he reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with tae provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premi
7 Owner "dress
v
ro By e i2t->; Address
CONTRACTOR, AGENT
Approv
eiecrncuc INSrEC10i
NEW RPL FEES
Size Service Conduit.._.._1fY ._Number'of Outlets...__........... ... ....... CD
Size Service Wires------ ---------Number of Switches----------------- ...7... ......-. , -.-�7 o
---- . .....
Size Service Switch.....14.�O-----------Numb er of Receptacles-i..........
Size Sub Feed Conduit.../,L.` --.....Number of Fixtures------ ----------- ---7-.. .......... ......79
Size Sub Feed Wires---;-�Y----2-------------Ranges................ KW..�----------- ---------- ---------- --------------
Number of Circuits...... r------ Oven -------...... KW.._-------- ---------- ---------
Number of Meters........./..------.'Si Is'-.1-- ,�ransforrners-------- ---------- --------------
Mise----------------------------------------------i-Dry&rs.---:.- --- --------
Motors------------------- HP-------------------- Phase---------- *- Permit Fee $1.00
Motors-------------------- HP---------------- — Phase---------------
Motors------------ ------- HP-------------------- Phase-------------- - — H P Charge----------- --------.....
TOTAL
harge----------------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring--- .
. . ................. Fixtures ------D-A-T-E i-K-sRECTOR- -. ....
TC
Finish Wiring ---- Motors --- ---- - ----------------
PAT C1 TO.
rina V---------
...... D.T.. Elm
C
'ELECTRIC SERVICE NOTICE.._ . COPY
COPT
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-------------------- - .. .......................... ................. 196.'Z-
To
You are hereby author connect the ELE�(7:1 1C service for `
Owner or Tenant .----.--........�..Q
-------- v..�.l
-...... ........ --- _._.........---......
c� ZlV SC-
AC
t ................... ...-------- --------..__...---......._....e.....1._(.. ... ....... .............
No. of Wires .........3--------- Size of Wires ...._.'2--------_--Size of Switch 1--oop'.p(�
Motor Load ............................ Voltage Phase ....................... ..V
HeatingLoad ..... .............---- K. W. ......... -------------.--........ Voltage
Light ....f/...'_110 .......�..Nnv Service..................Reconnect _.-----__--
No. of Meters ..._t
No. of Add. Mete .:.....................
Heat ._......_...220 ...._....,.._.Three Wire _........._..._Move Service .........
rs
Power ....._....— [JJb� hrce ase ..................Move Meter ...--------
104 1/60-500 ELECTRICAL IN TOR