868 NO. STREET LOT NO. .
t11CATI,O AFOR EOF LECTRICAL PERMIT
Cigb j / ERTINO
Up,, O
Date '// ��=-` -� U n 19KL� Permit No. � �
,.11N0 I=ce $io
Application is hereby made to the City of Cupertino for a permit to install electrical
`v 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 Premier
' J f
' :a .Owner :Adress - - /�j- LIZ
Address
� / CONTRACTOR, AGENT
S Approve
ELECTRICAL INSPE
K9V RPI
Size Service Conduit... ..........Number' of. Outlets.................. .At
Size Service Wires........#:?'.......Number Number of Switches................ . Z........ .
r'
Size Service Switch........1AAR--Number of Receptacles............ . 'e
Size Sub Feed Conduit..................Number of Fixtures.................. ........ ...... ...
Size Sub Feed Wires..-_..............Ranges....... ...... KW................. .......... .1........ ...;?AC....
9.
Number of Circuits................... Oven ....
........ KW...-----....-- .......... .......... ...7.5
V"
Number of Meters.......................Signs.......... Transformers........ ........ .......... ..............
Misca..............................................Dryers.....t............................... .......... .......... ..
Motors.......... HP--............. ... Phase........r..........-
Motors.......... HP........�/..j..... Phase.................... Permit Fee $1.00
Motors......... HP... QW..... Phase.................... H P Charge............... ..—S—C 1
I� . ...........
TOTAL FEES
INSPECIrION AP?!/? 4;
Rough Wiring//AA/,VC . . ......... Fixtures . C
flwi...
...........
PATE INS CTOR
V
Finish Wiring .. ......... . ... ..... rs
a ....ItFi
&ATS IXttiCTOX
ELECTRIC SERVICE NOTICE.' " ,Oo�YE
BUILDING INSPECTOR'S OFFI(�,P: c�
CITY OF CUPERTINO
To
You are hereby authorized to connect the ELECTRIC service for '
Owner or Tenant --- .......�✓/................. ...................,, f �f/� .........
.
At ,, %tom. ................................
......................
No. of Wires .,2................ Size of Wires 'z`,�...._... Size of Switch�� ��•
I
MotorLoad ............................ Voltage -----------------------------. Phase....................................
IHeating Load ........................ K. W. ---------------------------------- Voltage
� •t.::Reconnect ................
Light ..._......_.110 ..........
...---
New Servicer...—v,-e
No. of Meters -../..........._ ai ••y.N:: t±
Heat ..............220 ..............:.Tbte. lr€ ...:..............Move Service ......_..
No. of Add. Meters .....:....
Power .............. 'hree ase..................Mote Meter ............
104 1/60.500 ��ELECTRICAL INSPECTOR