2337 Ne *STREET LOT NO. 4
AMMELECTRICAL PERMIT' UPERTINO
Date -,2 , 19C Permit No.
Pee �' ;��- L')
Application is hereby made to the City of Cupertino fora 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'i itth the provisions of the Electrical Code of the
City of Cupertino,' and all other laws applicable thereto:
V Use of Premises
c a
,v Owner Addre G
N CCONTT/R�AC7TOJR, AGENT Approve
xnxPhone: L / �1 �/J / I? ELECTRIGL INSPEC!'OG
NEW RPT. FEES
Si-e Service Conduit..............._.....Number of itts, --- ----------- ......... ...
tts
Size Service Wires........------------------Number of cl ..H.
C ---------- ----------L._..........
Size Service Switch------------------------Number o pt
cc, ITS- -------- ----- ... .......... ....
, Fixtures.._._---..-._..
Size Sub Feed Conduit------------------Number of ---------- ---------- -
Size Sub Feed Wires--------------------Ranges................ KW---. ._..--- ----- ----- ... .............
Number of Circuits................... Oven _........... KW__ � : :�w
Number of Meters------....... .........Signs---------- Transformers_---.-
Misc-----------------------------------------------Dryers------------------------- ---------
----- ..... .
... .
Motors.................... HP------_------------ Phase--------- ----------
Motors..------------------ HP------------------ - Phase-------------------- Permit Fee $1.00
Motors. HP-------------------- Phase---------------- HP Charge---------------
------------
TOTAL FEES I
RECORD OF INSPECTION APPROVALS
RoughWiring................I---------------------------- Fixtures -----------------I' - ---- ------- -------
DATE INSPECTOR
Motors DATE INSPECTOR
Finish Wiring ............----I-----...INSPECTOR------- --- ............ --------11------------------ -----
DATE Final ......
DATE
OFFICE. COP,
ELECTRIC
,
BUILDIU INSj • 0 'S -F
e
0
........................ 196-�
T
ou are hereby an zed to c3ppriect electrica
1,osemce for
Owner or Tenant .......
- --- ------ --- ---- ----- ---- --------
Ati�e -- -- -- .... .. Z9- -- -------- -------------- --------------
No. f Wires Size Wires 1 _.w ..........._. e ores -----
40------- -- Size of Switch
Motor Load -------------------------- Voltage ......... ------- .. Phase ..... ----------------------
Heating Load ---------------------— K. W. ......._-------------------- Voltage --..................... ....
No. of Meters........ _....._......../ ht�:....... .... 110......L—
Lig -.. Nev, Service... ..... Reconnect.
No. of Add. Meters_. Heat 220.... Three Wire.............. move service........
Power......_.._... e--Thr=-ElmV------ ------ Move Meter..............
.... .. .. .. - ----------------------- ----- -- ...........
104 1/63-500 ELECTRICAL INSPECTOR