719 No4 0.2E , LOT NO.
/ _7
PPPL"ICATI N +)tR ELECTRICAL PERMIT
JUL 5 10clr CUPERTINO
^' - p
Date L .V-v. d`.TIPFRTIItlQjS^,— Permit No.
1=ce
b 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 Premicr<
aOwner Address ="i /I +�//-✓1 /c.�
By 9,d_9 J,n�.%' `r /-z�r Address �'•e�, -�F�
CONTRACTOR, AGENT
�+ _
Approved !tiy`e
Phone. // /�.:F! ELS IUL INSPECTM
NEW RPL FEES
Size Service Conduit....11V.........Number of Outlets.................. .. .......... ..
Size Service Wires..... ........Number of Switches.......... ZL27. .......... ..A`--
Size Service Switch..... of Receptacles............ ...... . .......... .. ......
Size Sub Feed Conduit..................Number of Fixtures.................. ../-?. _........ ...j....�;7....�,j
.. .
Size Sub Feed Wires..................Ranges.....----...... KW........
...... .......... .......... .......
Number of Circuits------------------- Oven ....L....._. KW.............-
..........
-- --- ----- .. ...../.>
Number of Meters........................Signs.......... Transformers-------- ---------- ---------- --------------
Misc------------------------------------------------Dryers...I------------------------------------ ---------- ---------- --------
I
Motors.................... HP............--...... Phase---.....----------- Permit Fee $1.00
.......... HP.................... Phase------------- ------ ---d
Motors
-3/ -------- Phase-------------------- H P Charge....... ...I........
Motors —------- HP..,-1
TOTAL FEES
CORSINSDECTION APPROVALS
I , -Op-. Fixtures ---------------------- ----------- -----------
Rough Wiring
L IAT 'OR DATE INSPECTOR
F W1fp 1. ....... .....
Finish Wiring
- ------:---- Motors ---
Finish Wiring g) ----
,A
VA INSPECTOR
Final ........?...............
DATE INS',
ARE
ELECTRIC SERVICE, NOTICE OFFICE
BUILDING INSPECTOR'S OFFICECOPY
CITY OF CUPERTI NO
.... ..........
....................................
TO ..
You are hereby�uth ized to conned thelet ctric service for
Owner or Tenant .... ......
At .......L9..7..1.0...... a,;X.! 0
No. of Wires ......Z........................ Size of Wires ....7i�..... Size of SwitcON2.424. 6
Motor Load ............................ Voltage ................................ Phase............................. .....
Heating Load ........................ K. W.. ... Voltage ................................
No. of Meters.........I tLight......./ 110......._. ew Service-10--' ....... Reconnect...............
Z" ' Move Service..._.......
Heat 220..... Th ire . ..........
Power................. ;e Move
No.of Add.Meters............)
P,
........................
104 2/59-250 ELECTRICAL INS It