1717 ► 1 z1:3 162 s V D " LQ Ll_cx-
NO. STREET LOT NO.
TP! R ELECTRICAL PERMIT
CT 17 1962cl F CUPERTINO '
Date1 V �L UrLK V1�� Permit No.CITY UI '
Fee $ 3 S
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 Prcmise<
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;a caner &","1" 46/' Address
By / Address
CONTRACTOR, AGENT
A if _Approved
Phone: 41 6 (ELECTRICAL-INSPEC&
NEW RPL FEES
Size Service Conduit........:.............Number of Outlets-.-,--------------- -- -- ----------
Size Service Wires--------------------------Number of Switches...__...:.... ....-2 y ..........
Size Service Switch------------------------Number of Receptacles........_.. . ._ ---------- -----
Size Sub Feed Conduit------------------Number of Fixtures....------.._---- -- .. .......... ......
Size Sub Feed Wires-------------------Ranges.-----/------- KW. ----------- ------ -- .........75—
....
Number of Circuits................... Oven ---- -------- KW__
Number of Meters........................Signs.--......: Transformers.,....... ........... ---------- ............
Misc------------------- ----------------------------Dryers----Z----------------------- -- ------ - ...... .......... .........
Motors-----y/----------- HP-------------------- Phase....................
Motors. HP---.--------------- Phase........._....._.. Permit Fee $1.00
Motors.........:---------- HP.................... Phase-------------------- H P Charge...._....---- - �0..!?
FEES EES- 1 3 2
,5
RVCO NSP ON AFTRQYALS
Rough Wiring ---- -- -- . ............... ......... ixtures ......... ----------------------------
�O
�D4__ 1 0 ....
Finish Wiring . __-............... fMIto's ............
DATE INSPECTOR E
Final /!n. ......... ........
DATE WINSPICTOR
I MMMEN11i
A ELECTRIC SERVICE NOTICE oFF '
COPY
BUILDING INSPECTOR'S OFFICE
w y CITY OF CUPERTINO
II
.....-------....... .. 196 .
To
You are hereb authto connectthe EL I "ice r
o
I" Owner or Tenant ..-- .�' jjy�jjy�'- `
Ar....��.�.3 .
No.;of Wires ...... Size of Wires ... a"-"-"" Size of Switch�QOLr:-
'Motor Load _..-.................... Voltage ............................ ... Phase...:..................."............
Heating Load ---------:............ K. W. _..-- --- Voltage ................1--_
�Lieat ...2�
ght _..---.--...,110 `'.._..New Service -.*.-"......Reconnect -. ----
No. of Meters .... .-_ _0 """_Three Wire.-_...............Move Service ..
...........
No. of Add. Meters .._....-" Power
..........---._ r .se ......."..........Move Meter -----------
ELECTRICAL : NNSPECTOR.-k':'''
104 7/61-500.
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