2118 zoc3. / I Mc.
NO. STREET LOT-NO. �
JA� PPLI.CATIO.WSFORI ELECTRICAL PERMIT
CITY & cuPExrlNo
I JUN 211963 t�_"
Date .� Permit No.
C:"i' OF CUA ERTI1pee $ ;�80
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 / p
;.3 Owner �NnA ca 1_ iE� n FZ .vP Address O b0
N t�
By Address 1 Q K� WSJ.
CONTRACTOR, AGENT
Z /_ O Approved
�J Phonc: C� O ELECTAKAL INSFECTOlt
NEW . BPI. FEES
Size Service Conduit.....................Number of 0 e/s.................. .../-- -- ---------
Size Nu itches....___......----------
Size Service Wires........._----- litti: .2 .......... ....:.2-1.90--
,)5 1D
Size Service Switch........................Number of Receptacles--- ........ ... — --------- --------------
70
Size Sub Feed Conduit-------------h...Number of Fixtures....._..... ..... y
- * . . . .....
75
Size Sub Feed Wires.. ----------------Ranges-------/...... KW---------- ------ ......... --------------
7
Number of Circuits------------------ Oven ----/....... KW-------------
------ - --------- -----
Number of Meters........................Signs.......... Transformers........ .......... ---------- -----------
Misc.......--- -----------------------------------Dryers----------/------- ---------------- .../- --------- ----. ..
motors..... .......... HP----------------- -- Phase.................... Permit Fee $1.00
Motors.................... HP-------------------- Phase--------------------
Motors.................... HP.....------------- Phase.................... H P Charge..-----..
1-4S.b-
TOTAL FEES
RECff
OMUfi0RjIN PE res ROVALS
Rough Wiring
............ Fixtures
I CTOR ATC
1/ 7.
Motors ...
Finish Wiring . . ..... ....... .........
PATE INSPECTOR MPECT.1
Final ...........A............30�1 ----------
DATE INSPECTOR
IBM
OFFICE COPY'
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
:.r .......................i .-.�.`��...................... 196.4:
Toy
You are hereby authorized to,connect electrical service for
Owner or Tenant .ti :-.__2k; ! -r a �
At ... rJ .
..............
No. of Wires ......��............... Size of Wires'-t!�......... Size of Switch
Motor Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters... Lght............... I In.._!�- New Service..--...... ... Reconnect..................
..............
Heat................ 2?0...' Three Wim............... Move service............
No.of Add.Meters............
Power............... Three-Lhasa.......-...._: Move Meter..............
104 1/69.500
.....- ..........................
ELECTRICAL INSPECTOR