2000 /O A NO. STREET ` LOT NO.
APAP -1- ON TF.6R ELECTRICAL PERMIT
u' CI OF CUPERTINO
MAY 1 1563
Date , 195— Permit No. ��_
CITY OF CUPERTINl=ee $ 'Z °"
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, d a er laws applicab reto.
Q; Use of Premi
Address
Addres �
L CONTRACTOR, AGENT
X 53-3103 Approve t0
Phone: E t� INSPRCIOi
NEW APL FEES
Size Service Conduit......................Number of Outlets------------------ ---------- ;...,...... ....
..........
Size Service Wires.........................Number of Switches................ .......... ..........L..._._.....
Size Service Switch------------------------Number of Receptacles.---------- --------- -------- -------...--
Size Sub Feed Conduit------------------Number of Fixtures................. .......... .......... ..----....._.
Size Sub Feed Wires...................Ranges......:......... KW------------- ---------- ---------- ------------
Numberof Circuits................... Oven .............. KW.............. .......... .......... ............
Number of Meters........................Signs.......... Transformers-------- ---------- ---------- --------------
Misc------------------------------------------------Dryers---------------------------------------- ---------- --------- ----------
Motors.................._
--------.Motors..............._... HP.................... Phase---------------- Permit Fee $1.00
Motors.................... HP.................... Phase-------------------
Motors HP-------------------- Phase------------------- H P Charge-----...........
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring---------------- -------------------------- Fixtures ...................... -------------------------
DATE INSPECTOR DATE INSPECTOR
FinishWiring ---------------- --------I----..C....----. Motors .................-----�.....- ^ --------
DATE IxsPecTOR y�TE
Final �pd....-�.........�-- - '-
DATE INSPECTOR
OFFICE PY '
ECTRIC 'SERVICE NOTICE
BUILDING OF CUPERTIOR'S OFFICE
CITY-OF CUPERTINO
........--.-.------ --_..: ....... 196.13
To r'
You are herebyauth d to connect ctrical service for''. ,
Owner or Tenant
At ......... .. . -�
No. of Wires ......P............. Size of Wires 7 b..... . Size of Switch•: .,
MotorLoad ....................... Voltage ------- ----- ---------- ----- Phase
Heating Load ........................ K. W. .....------- ------ ---------- Voltage ................................
No. of Meters..._........ Light................ 110.---*!!: New Service...._.....'... Reconnect_.._._........
Heat................ 220.... . Three Wire.. ........ Move Service.._...._,.
No. of Add. Meters............
Power.............. Th ....._....... Move Meter..............
..-..... _......._.....
104 1/63-500 ELECTRICAL INSPECTOR ------