1718 I 1 z 3 I �c�e.—o Y JA A l
-NO. STTREET LOT NO.
i�f
tsPL(C-�TtQN P„ R 'ELECTRICAL PERMIT
OCT1 7 1962 C F CUPERTINO
Date L�1�1 V�19�Z Permit No. +�
Fee $
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 Premises
c
7 Owner Ll--. Address16LI
" By -Address �. 1-.r
CONTRACTOR, AGENT \
v1 .Approved
Phone: � .2 G e)/7 - ECE 1 L 1NSYECf0MX
NEW RPL FEES
Size Service Conduit......................Number of Outlets.................. ./_`T.. .......... f.n '
Size Service Wires..:............:..........Number of Switches...-------:----- .2.1. .......... _.. .Y.n"
Size Service Switch........................Number of Receptacles........_.. .zFr- ---------- -----:-2
Size Sub Feed Conduit------------------Number of Fixtures.................. ..!5... .......... ........ ..!`.
Size Sub Feed Wires...................Ranges............. KW------------- .......... .--"---- .......... ^'
Number of Circuits-------------------- Oven ------- KW.............. ---------- ---------- -----------
Number
---------7Number of Meters........................Signs.......... Transformers-------- ---------- -------- . ............
Misc-------------------------------------------------Dryer s---- ------------------------------- `------ --..._.. .........
..7.,5
Motors.--z/------------ HP-------------------- Phase-.-------------- Permit Fee $1.00
Motors--------------- HP-------------------- Phase---------------
Motors.................... HP.................... Phase....---------------- H P Charge---------------- -----1-C O
TOTAL FEES 3 =S
SPECTION APPROVALS
Rough Wiring//AK, ..... SFr rxt ems-------...-. - .
- . SOTOR TC INSPECTOR
Finish Wiring ................ ._..... --------. Motors .- -------- --------- - -
.� OSEC' INSPECTOR C h OR
Final .1-17.......----I-- - ...........
nErE ' INSPECTOR
�® ELECTRIC SERVICE NOTICE OFFICE
COM,
BUILDING INSPECTOR'S OFFICE ,1
CITY OF CUPERTINO , ,,;'f;'
r;
To
You are hereby auth z to connect t11 ELE C
Owner or Tenant .... .... . . -
/7ff ...--- ..........
1r---No. of Wires.,...---....------ Size of Wires 3�9-----... Size of Switch��0 '
Motor Load .....:...........:........ Voltage ................................ Phase--------------------_......-.......
Heating,Load K. W. ---------------------------------- Voltage
Light .........__110�.�.�../.......New Service :`...:.Reconnect ...:- _.
No. of Meters .7 ^' ✓ -
.:;.... Heat .............220 ...............Three Wire ................Move Service,_.:..::..
No. of Add. Meters'......`.e.. - ;
Power _........__. a ------------- Jc Meter .._........
LE ICAL INSPECTOR
104 /r]-sno ;v