1252 /C2770
NO. STREET g' LOT NO.
,CIG- -ETON �l�QR ELECTRICAL PERMIT
dAMC 15I 0�1 'IF CUPERTINO
I T
o DEC 7 IJV Gm�
Date 1 � I
� — �.t,�1 1�4 �_ Permit No.
CITY 0 U l Fee
r Application is hereby made to the City of Cupertino for a permit to install electrical
�x. wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
,yo wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
tT City of Cupertino, and all other laws applicab thereto.
v Use of Premi
c
a Owner la MAR7( /Y Address
B1:'T: Addres
CONTRACTOR, AGENT
1 ` Approv I
�t Phbrte' �AZH - — 1 0 Cf ELECTRICAL INSPECI01
NEW RPL FEES
Size Service Conduit.---.-..............Number of Outlets---------------- ).-.-----
Service Wires..........................Number of Switches..._._......_ 1-7---- ------- -- --
Size Service Switch..................._...Number of Receptacles..._....... .36 -IS. 60
......... .......... .. -----------
Size Sub Feed Conduit----- ------------Number of Fixtures------------------ -I-L— ......._. 1c 2-6.
Size Sub Feed Wires--------------------Ranges----/........ KW...------ ---------- ---------- --------2_:.._
Number of Circuits....-.-.------- Oven _/ ....... KW.....------- ---------- ---------- -------
Number of Meters........................Signs----- ---- Transformers--------
Misc--------------- Dryers------------/- ------ -----------------
Motors,-3- ---- 2LGHP Phase-------------------- Permit Fee $t.00
Motors-------------------- HP-------------------- Phase--------------------
Motors-------------------- HP-------------------- Phase.._---- -- . H P Charge....---------- ---f.
TOTAL FEES
C INSPECTION APP S
RioughWirin V .... .... .......... Fixtures '_ ------
AT
N TOR...IA p
Finish Wiring --- :-- ------- Motors
AT
IN., 'On D
Final Jr..Z --I.... - ---------
DAT[ .SpKC
I
r �
oFeR_e
ELECTRIC SERVICE NOTICE
:.oar
BUILDING INSPECTOR'S OFFICE
CITY OF CU RTINO
To
You are here 4 utho 'zed to conn th ECTRIC servic for
Owner or Tenant.-- ...... ..-.._. ._... -.._ .. - ........._._..
At ..._.L0..7..7._.Q..... ._
No. of \Vires-:9� Size of Wires .......... Size of Switch
Motor Load ........----._.... ..... Voltage ._. ------------ Phase--------- ..........._....... .....
Heating Load ...._ ........ K. W. Voltage
y/ -----------------
Light .....�oo—I 10 ...._ _ _
....--. New Semce .............. .Reconnect ................
No. of 1`fetea ..__/-..... .. Heat ....✓....220 --.-.._.._._Three Wire _.------------.Move Semce ..._._.-
No. of Add. Meters ..... Power ✓
....... 'rhr
ELECTRICAL INSPECTOR
104 7/61-500 '