1481NO. STREET LOT NO.
rJUN
RELECTRICAL PERMIT
1.
2 7 1962PCUPERTINO"
Date JUN 2 6 19Tr� Permit No.'
CITY OF, CUPERTI 0 pee S 130 =o
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.
Use of Premisr< -''e,
gO,wner— ����--✓ Address �g7 6c�eb.
A E Address
EARTc4
SIS . Approved
GOG Kl,VC'S
Phone
SAN
ItOtV ELE tui iNSPeCT01
Cy 5 i` UAi11".
. . 3410
CNZSV' RPL FEES
Size Service Conduit...... ....._Number of Outlets ................... . ----------- /( ?Q
Size Service Wires ........ /..le --------- Number of Switches ------ ...._ ....^3 ............._L :.ao.
Size Service Switch -------------_.......:.Number of Receptacles....-------- --
Size Sub Feed Conduit.. - e�....._...Number of Fixtures.._ .......................-................... 00
. Size Sub Feed Wires.�----Ranges------------:--- KW .............. .......... ----------- -------
Number of Circuits ----it" ------- Oven -------------- KW ...... :------- ---------- --------- -------:------
Number of Meters......;1:............. Signs ......... Transformers.................... ---------- ............:.
Misc----------------------- -------------------Dryers----------------- --- ------ --- 0
y Motors ..��.N %HP ------.---- ----- Phase ---._-------...---
..%
Motors ,.L2 -ca -,a----. HP -------------------- Phase ...__..........-- Permit Fee $1.00
,L Motors _�irfz :. HP -------------------- Phase ..... ........... -.. H P Charge ----- ---------
TOTAL FEES
C INSPECTION APPROVALS
Rough Wiring... p
. .. .....�.._..... Fixtures --------------------- . . .
OAT INSPECTOR GATE / NSPECTOR
Finish Wiring................1. .... Motors -.12.
--.-.- -..._ ..---....
OATC INSPECT( OAT CTOR
Final -� ..� ........
oA E INSPECTOR
To
ELECTRIC -SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE _
CITY OF CUPERTINO
OFFICE
COoY
....-., 196. z _
You are hereby aL or' cd to connect the EL C C service for
Owner or .Tenant .......
�; Q
At
No. of Wires .... . , Size of Wires .....:. Size of Switch ...
�......
Motor Load ...................... .
.... Voltage .............._...._- Phase ....
Heating Load ...................
--- ................. K. W.....-- -..---...'�..._— Voltage ....... --........ ...---..--- .
rlLight .., ...._110 .._.....New Service .._ .............Reconnect ................
No. of Meters ._w�?........) Heat - 20 ....... Three Wire .....:......._Move Service ..........
No. of Add. hfeters _........ Fower ATh,ceghas.: . Dfove MICAL' 'INSP OR
104 7/61-500 '