1292 / � 74-a � . 3
.NO. STREET LOT NO.
P `CATIONELECTRICAL PERMIT
1 21
9��CIyi CUPERTINO
, DEC /
DatePermit No.
1, I95—
V
CITY OF V pee $ ( r I
Application is hereby made 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.
v Use of Premises..-�e--.�.�-.=+ -
c
v
a Owner �'�' Address
tl
By PRII�I-^61-1 v ."4nm I Address
6783 DALN�T-ACroR?IACEt�'-1084
0e�r c.r+.cry.o��u Approved
'yp1110 �j /J ELEC[RIUL INSTEC'101
NEW RPL FEES
Size Service Conduit.... ................Number of Outlets--..------.------. _�!--- ---....... ....I .y6
Size Service Wires--- Number of Switches---.--------- -17.. .........- ....
Size Service Switch------------------------Number of Receptacles----------_ .:?'�-- ---------- --------------
j
_-----------
lZ /. a jSize Sub Feed Conduit..................Number of Fixtures------------------ - ------- -.---.---. ._ ..
Size
Sub Feed Wires-- ----.- ...Ranges.....--..�..... KW------------- ----/--- ---------- ........7J
Number of Circuits...-.--.. Oven .......Z.-- KW...-....----- -.`I
`..... -- -- -----------
Number of Meters------------1..........Signs....----- Transformers....--- --------- -----.... ............./
Misc.-------------------------------....-------Dryers.....-----. ------'------...---... ..-1---- -------- -----7J
Motors.................... HP----------------- Phase----------------- -- Permit Fee $1.00
Motors----------. HP------------------ Phase------...._..-----
Motors--------�------- HP.................... Phase------------------ H P Charge-...........---- -----------0
TOTAL FEES
CINSPECTION APP V L�
Rough Wirin / ...----_ Fixtures . .-f
8 j - - -------.... -----�... .. ........ ..._....
D-AT --- .-X]-ECTOII / wjc
Finish Wiring ....:.------"-�� -.. Motors ../L�1--�-'-- ----- - --....---
OATE INSPECTOR Final ...;/..--- -J..-'---I...... �....- ---..
DATE IXSP[CTO11
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICF,
CITY OF CUPERTINO
--....... --------..�' ...- /----- ------ -------- 196'?
To
You are hereby authorized to con electrical service for
Owner or Tenant -... ... _........._.
At
�j _
No. of Wires -..::?............... Size of Wires ....... _....._ Sf Switch-r7
Motor Load .......................... Voltage --------------------------- .... Phase .._....----...-------
Heating Load ------------------------ K. W. ------------------------ Voltage .. ..........------------------
No. of Meters_ Light.........._... I I0_!��.. New Servicc.�.'_... Reconnect-_........_.....
Heat.....___.._. 220_4s Three Wire....--------... Move Service..
No.of Add. Meters............
Power......... ase......._.... - ve Meter..........
._.
104 1/63-500 � -
ELECTRICAL INSPECTOR