1524 NO. SrQEET LOT NO.
n
OR ELECTRICAL PERMIT
OF CUPERTINO
VA"I
;DateT�V/ (�[ DDi�pp ������, 19��' Permit No. r �a
ILYi Q$ L)HERllIh�JC: Fee t
A i ion he ity 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.
f
a
u Use of Premi
a Owner e G Address ✓o �S
v
M By Address
CONTRACTOR, AGENT
n Approved
Phone: ��—(( /��¢� ELE L rN5PHC201
AUGNEW RPL FEES
Size Service Conduit------J/�--------Numb--r of Outlets---------------- A--- ----------11
Size Service Wires........A�--------Number of Switches-.-`.:------- e- 9— .......... "�.......
C: - c__,:_ C-�.-u 1170119 XT—t— 1,1�j
,zc ........ of Rec�pptaacle ........... ......... . -------- --/--
74
— v-0
Size Sub Feed Conduit-----------------Number of Fixtures...........—---- . .......—
..........
-----------
Size Sub Feed Wires...---............Ranges................ KW_...--------- . . ... .......... Y,?r
'Nuinber of Circuits------------------- Oven .............. KW--------------r---- ---------- -------------
Number of Meters.......................Signs----................ Transformers-------- ------
---- ---------- --------------
�
Mise-------'- ----Dryers-----....... ----------------'-------.
Motors Phase- -4----
------
Motors --------------- HP------------------- Phase--------------------
Permit Fee $1.00
Motors...... ............. HP-------------------- Phase......------------- El P Charge-----E --5--- -- -- T
TOTAL FEES
(10 JNSPECTION APPROVALS
Rough Wiring ...... Fixtures ---------------------- --------..._.--------------
OAT INSPECTOR DATE I
....r .... .........
Finish Wiring -------------I-----------------. ... ......
DATE INSPECTOR Fi:rS
---------CJ-'IJ'----... . __......
DATE INSPECTOR
ELECTRIC. SERVICE NOTICE OFFICE:
BUILDING+INSPecroR'S OFFICE t t)
CITY OF CUPEP,TIN0 ,
......................�... ..'....tlr-lb............... 196..%
o
You are hereby auth rize to connect the FJ I CTRIC ser e for
Owner or Tenant ......_.... .....
At ............ ..�.N.... - . . . .......
0
of Wires .....�------- Size of Wi . .. ........ Size of Switch 1..6.0.
MotorLoad .......................... Voltage ................................ Phase....................................
Heating Load ...................... K. W. ----------.........y/"Voltage ................................
Light ........ .. to ...... -.../New Service .................Reconnect ............_c.
/� /" ...
No. of Meters ....a......... Heat �/r6 ................T Wire .......... fove ove SMeerviter ce...------
No. ..
of Add. Meters ._...._. Power _............. i Phas ..........
............. ..`...... ... ....
ELECTRICAL ISPECT
io4.7/61-3oo ... ...