861 •. ./G � %3 -fit: ✓ LC.c1-L— _
STREET LOT NO. �
APPLIC OldTRICAL PERMIT
OCT MAO 1No
,.. ,
Date /l nr 60 Permit No.
n
Fee $ 10S
• 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 &' Cupertino, and all other laws applicable thereto.
.� Use of Premicoe /— CG
uf
3 Owner/Lii�le-/ �iLAC-4Address C ` '
g By
'r4 d 'gid Address
CONTRACTOR, AGENT
App rov
Phone. ELECTRICAL INa
NEW RPL pass
Size Srrvice Conduit........t/..........Number of Outlets................... ../-�I. .......... ..../,�
Size Service Wires.....r.................Number of Switches.._............ .......... .......... ...:..........
Size Service Switch../.Z.ea......Number of Receptacles.............t.1 e
..........7.
Size Sub Feed Conduit................Number of Fixtures............-..... . .. -..-..1......
Size Sub Feed Wires..................Ranges...... KW............. .......... .......... ...
Number of Circuits................... Oven .1.......... KW.......-...... .......... .......... ......
Number of Meters,......................Signs.......... Transformers........ ..... *
Misc................................................Dryers_ ......-----------------------------J----------1
- *"*...... ...
Motors.................... HP.................... Phase................* Permit Fee $1.00
Motors......... .... HP.......... ....... Phase....................
Motors..-.-....i*...... HP'** ..... Phase.................... H P Charge---------------- ..i;?.........
TOTALT
INSPECTION APIP
Rough Wirin .. ... ............ Fixtures,
am
Finish Wirin
0
9M --- ?motors/4?, Z
.DATV INIFEME ■
Final A?340. on
MTK
ELECTRIC SERVICE NOTICE OFFICE--
X
,.,
BUILDING INSPECTOR'S OFFICE fir,-•coPY
CITY OF CUPERTINO /
� a�fr........................... 196.1.
To
You are hereby authnnect ECTRIC service for
Owner or Tenant .. �rl�vL
At....AV7..Y.=-2. i97 r ✓. .l u
No. of Wires+.��............... Size of Wires �� ........ Size of Switch ZoD '
Motor Load Voltage................................. Phase....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light ..............110 ..._...........New Service":........Reconnect ...............
No. of Meters..�....__..._
• :7 Heat ..•-......._.220 '.�.........Thm Wire ...................Move Service ..........
No. of Add. Meters ......... S .
Power .............. Thhrree'ee Phhase..:.......... ....
.....Move Meter :....... ..:
` ......._J` .Y_.Y..r�C.f .—..'..................:. '
104 1/60.500 / ELECTRICAL INSPECTOR