2183 �z o gg8y
NO. STREET LOT NO. �
''l
4 APPLIOATION, qGR ELECTRICAL PERMIT
p iTY �Of CUPERTINO
z JUL 15 1�G`3
MM Date Permit No.
L'J GL. i 1 U �t'L i . .� Fee S /Z/ 6S
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
a all other laws applicable thereto.
v Use of Premises ^�Co
c
a Owner �� ^^ —I� fJ�tI✓C�Address _C .
14 By c CQAddress . V
CONTRACTOR, AGENT Approved {
C}I Phone: -� O ELECTRICAL INSPHCIOl
43E
KV RPL FEES
Size Service Conduit......................Number of Outlets.................. ..A/. .......... ...11...
Size Service Wires................._......Number of Switches.._.......__.. ...A...0 g...110
r .... .. .....
Size Service Switch........................Number of Receptacles------------ --3-6; ---------- --3..
Size Sub Feed Conduit..................Number of Fixtures.................. .Al. .......... ..
Size Sub Feed Wires....................Ranges KW......------- .
W--------------/ ....... ......75-
....... .. ..
Number of Circuits................... Oven ----- ..... KW......._..... ....../ ---------- ------
Number of Meters........................Signs.......... Transformers-------- ---------- ---------- -----
Misc................................................D rye S -Z---- ---(*.............. ...../.. .......... .............
Motors......I/----------- ..... 9--- Permit Fee $1.00
HP----Z1�2 Phase.........�e
Motors.... OD................ HP.................. Phase....................
Motors................... HP......... --------- Phase-------------------- H P Charge..........----
TOT4L FEES
C OF INSPECTION AP OVALS
VD A X...... ------
Rough Wiring ...... ...... ............ . ...... Fixtures -------- ........ ........ .................
7 D E MIt R
Finish Wirin ............. ......... ......?motor - ----- ...........
DATE INSFECTO.
Final ...)
y y_
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
_........_...... .............
To
You are hereby authorized to nn eltdrical rvice/Z
Owner or Tenant . .................................. -------- ------
At
---- --.... .- -� ........
At ......--------... .�. -- ------- ..... ---
No. of Wires -------------3-.---- Size of Wires ......�....7j-e
of Switch '�/,�
Motor Load ............_ -
............ Voltage -------------------`......... Phase --------------------_---- -
HeatingLoad ........................ K. W. -- ------------------------------ Voltage
�
Light............� �
............ New Service..._�Reconne<L.................
No. of Meters........�..........
HeaL_.....�20..__.-�ne Wire.. ...._... ove Se.:vice............
No. of Add. Meters............
Power............... Thr Phar ............ Move Meter..............
.._............._. .... .....
104 1/63-500 ELECTRICAL INSPECTOR