2103STREET LOT NO. 6
jP1,13A tOM-4 R` ELECTRICAL PERMIT
OCUPERTINO
JU2119�'Date `t -P C1 ,i95 _3 Permit No. '� `'3
�C:TY OFFRETI' ^Fee s /,2 a�
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.
Use of Premises�_/��L���..-✓.
�K- �
Owner cn �i1DrlGl(.io , Address W45 e ��G�iLC✓ ��
��By -aRS?`r a Address d i.
CONTRACTOR, AGENT Im
/r_ -2/ Approved
Phone: <.�LfeLeerxeuc INSPECTOR
Size Service Conduit ......... .:....._.Number of Outlets..................
Size Service Wires.....���.. .vim..Number of Switches_ ..............
Size Service Switch....�.�(�)... �. �..2dumber of Receptacles.........._ -
Size Sub Feed Conduit..................Number of Fixtures_...
Size Sub Feed Wires ...................Ranges- -------- KW.
Number of Circuits.-------------- Oven ------- KW.
Number of Meters........................Signs..........
Misc.-'----------.... --D err...---/-...
Motors --- — -------- HP-.f?!:�(. Phasc ---
Motors .-.- �.------... HP .................... Phase -----
Motors -------------------- HP ------------------ Phase
RECORD OF IN:
Rough Wiring ......�..... ..�
�/ q " seecTe•
Finish Wiring 4..lA.�.- ..�.... !�.�.......
OAT[ `r`sp"Toa
Fixtures
Motors
Final
NEN FPL
FEES
Permit Fee $1.00
H P Charge------ --
1.119CTOR
O ICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO,
-
---------
To ........ ...... 196
e ical service cc for
You are hereby auth ri d to conned
CC for
Owner or Tenant
---- - 1-m- ..
At.. ............
No. of Wires ...... .. .............. Size o
- -------------- Size o Ires - - --- -------- ------- Size of Switch r.
Motor Load .......................... Voltage - ---- ---- ---- ---------- Phase ...------------------...---
Heating
.. -----------------------
Heating Load ------------------------ K. W. - --- ----- -- ------- .... Voltage ....... .... ...........
No. of Meters.... ight ----- .......... Service_ ... MR�o.nnect--
L f a i",c e Move
H �1-220 ---- A.- Three Service............
No. of Add. Met ..
Power...__..._... ThrjPhas n.move metes
104 1/63.500