1618NO� - STREETS LOT NO.
P � ' C�r•TIVN-QR ELECTRICAL PERMIT.
AUG 4 0 19611 U:F CUPERTINO
Date --J 219 19�----- Permit No.
U l f W UUPLRTINO Fcc 5 %X71 Application is hereby made to the Cit of Cupertino for permit to install electrical
PP Y Y Pe
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.
Use of Premiseg ` c a—o <
C
a
Owner �> vs�/l i r �v Addresses<tp'
By l - t17,e Address < «'
CONTRACTOR, AGENT A roved _` %LL of
hone: ,�%L 7 PP ELECTRICAL INSP9CT01
�.
NEW RPL
Size Service Conduit ......................Number
of Outlets.................
Size Service Wires --------------- :.......:.Number
of Switches ..-..._--------
Size Service Switch
Number of Receptacles ......_....
Size Sub Feed Conduit ------------------Number
of Fixtures .............._-.
Size Sub Feed Wires ....................
Ranges ....... /------- KW ------------
Number of Circuits-------------------
Oven ..... ....... KIN --------------
Number of Meters.......................Signs.........:
Transformers........
FEES
Misc-------------------------------------------------
Dryers...L.....:---------------......----`I----.._:.I--------
------Z.77
Motors ---- !�/ --------- - HP .----------
...... . Phase ------------------
Motors .................... HP ..........--'-'--.
Phase ------------------
Permit Fee $1.00
Motors ----------------- HP ----------------
Phase .............
_...... H P Charge-----...----- -
------00
TOTALFEES
Rough Wiring 71-?Lh.j.... ..... ._Fixtures ....:................. ............................
GATE INSPECTOR DATE INSPECTOR
Finish Wiring ................. --------------- Motors.... ..
DATE - INSPECTOR DAT
n
Final ./�.>zr.�-L---�- ................
DATE INSPECTOR
ELECTRIC SERVICE NOTICE orFrr'E
�rL BUILDING INSPECTOR'S OFFICE
CITY OF- CUPERTINO
2
�1----- ---------- ----- 196.._....
SS You are hereby autho ' -
.i Owner or Tenant ........
No" f Wires ---- .
,.`Mot Load ... ..___..-.
HeatiooLoad
:
No. of Mety
e s,..
No. of Add. Mi
-104'7/61750o
connect
J
i
Size'of Wires• —erg......... ,Size of Switch
Voltage...... -........ ................ Phase ..........................
............ ........... K. W.............. .............. 'Voltage
/ .I l Light .............a to . r.:.._New Service ._:✓...Reconnect
'-+-----.— Heat _........... 220 ... Three Wire Move Service''`"
tep;"--_-__. ower................- ,.'...
. _......_.... .Dfove Meter ..._-...:..
-;+� ELECTRICAL INSPECTOR �;:`.i'.•;'1e��
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