993 NO. STREET LOT NO.
FELECTRICAL PERMIT '-
UIMAR 9 1MTY CUPERTINO
Date c / —1 1
U111 Ur ,Nd1z- Permit No.
oo`` Fee 'T,
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 Premise< 7� czl .9 •ci'�
V Owner ( (>�1- y��� - ��iZ-'4C<. Address
By .. :)4q 41,ia Address
CONTRACTOR, AGENT
AA Approve
�onc: 41 .2 ELECTRICAL [NSPECID
3'
NEW RPL FEES
4-
Size Service Conduit---l..Y...........Number of Outlets------------------ --i...7---- ---------- -----!?,G..-
i
SizB Service Wires.......?........Number of Switches.._------------ --IJ--_ ---------- .......7
.
Size Service Switch....i.v.ck.4........Number of Receptacles............. ..?:.7-- ---------- -----
Size Sub Feed Conduit------------------Number of Fixiarcs------------------ --!.?.. .......... .....1..7y.
Size Sub Feed Wires..._..............Ranges.-.I............ KW...........-_ ---------- ---------- --------7
6—
Number of Circuits......----------- Oven I----------- KW-------------- --------- ---------- -------7
Number of Meters.......J..............Signs.......... Transformers........ .......... .......... ..............
.... .......... .......7-
Misc............
-------- -----------------------Dryers.._-- I-------------------
---------------- ----
..
Motors...... .......... HP-------------------- Phase-------------------- Permit Fee $1.00
Motors.------------------- HP-------............ Phase....................
Motors........._......... HP...------------- Phase.........----.... H P Charge--------------- /---e....e-l-
TOTAL
CO INSPECTION APP,40)t
Rough Wiring v�09aw i.........___'---. Fixtures
.
.
--A------ -
T
Finish Wiring . . ... --------- ....rotors I.- -- - -------
PATE INSPECTOR A
Final .. . . A .I---........ 9-- ------------:t.....
. INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
r, CITY OF CUPERTINO
.......................... 196.,
To
You are hereby an ors to connect the ELECTRIC.service f9r
(J ,
Owner or Tenant ... w-%'=��' ' = /J '• .vA
At
No. of Wires .. ............. Size of Wires ?!t:''-;........ Size of Switch � •
Motor Load............................ Voltage ................................ Phase....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meten._/ LiRht..............110_f......New Service...V.........Reconnect ...............
No. of Add. Meters ....... Heat ..............220 ..........Three Wire .................Move Service .........
_.
Power .............. Three Phase..................Move Meter............
............. .
104 1/60.500 ELECTRICAL INSPECTOR