1803 NO. 9TAEET LOT NO.
�GoPLIC-ATIO�N [FOR ELECTRICAL PERMIT
I 0 ]962 ItroF uPElrrl vo
AP,
Date QFV 71962 1. 5Permit No. U
CITY C:_ WtH I — FCC S /,7 _ 4Fv
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
p wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
J Use of Premises GGli1e.J�in�r
'a Owner �CuA Address
a,
=" By j. D. ELECei ELECTRIC Address
h OTA4 c .! A
770 South AlCwsoNHa. -.- P.UG'WoTx 927 Approved
Phone Mounla;p Wow, JE�C4ALFECTOMX
��rc fa
NEW RPL FEES
Size Service Conduit.....................Number Number of Outlets.................. -----
Size Service Wires....................._--Number of Switches................ -31-----------
Size Service Switch.._.............._....Number bf-Receptacles.. ......... . ---------- --
Size Sub Feed Conduit------------------Number of Fixtures_................ --- . .. ......... ........ ....
Size Sub Feed Wires------------------(�Rang �__ - ----------- KW...........-.. ........ /
Numberof Circuits------------------- Oven .............. KW.----.....---- --- ------ ......... ..............
Number of Meters.-.----...............Signs...------- Transformers ---------- ---------- --------------
cJ
Misc---------------- ----------- ---------
--------------
_QDryers,,- ------------
Motors. T�- ------- 3.Se........
-------- . Permit Fee $1.00
Motors-------------------- HP-------------------- Phase-------------------
Motors------------ ------- HP-------------------- Phase----------- -------- Fl P Charge- ...----------- ---
TOTAL FEES
INSPECTIONAPPROVALS
R,oughWirmg/,_. ../_. - - ------------------ Fixtures ------------ --------- ---- ---- ---------
AT INSPECTOR DATE I1K51EeTO'
.. . ....................
........ Motors ..---------- ---------
Finish Wiring .............. . -----------------------
..To,
PtCTO.
I&
DATE
Final ...—...L..-------- - ------- -------
OAT[ TWIrICTOR
T�E=K P`O-R WRY EL- CTRICAL SERVICE
)ATE:FEB 2 _
CITY0 vgar APER'
AT: .....
/�.0...'riU,,, :..... ... ...
LOT: .... ...-..._ ..... . ... ... ..._.. - -- ...... -- - - -....
REASON: � _.__.. .._.__._.._...__.. .__.._....__...._.
The undersigned agre�eessGGGt...o5"s,
J�ble for the.electrical service_at the above locuiou,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. �J
_... _ :.... t
_... .. -
INSPECTOR
]'P,NAiA"[' OR OWNER
1118 7/63-500