1575 NO. STREET LOT NO. l
�l.I' ION FOR ELECTRICAL PERMIT/
�) p l Y OF CUPERTINO
p/ JI^pIJ RQ 1J62 -�
� 19/ �Z Permit No.
m
U pec S /O �o
r. (�,�(p�pT nIn
ca is t7�SYYLtV49�t9Wje City of Cupertino for a permit to install electrical
M wiring and or fixtures as listed on the reverse side hereof, and agrees to install said
M wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
a, Use of Premises
c �1 _ 61'W-Al
a Owner I�mWM r-A� 6 Address
a,
By Address
CONTRACTOR, AGENT
.Approve -
Phone: 2��GG i ELECTRICAL INSPECTOt
_ NEW RPL FEES
/ b0
Size Service Conduit..-.Li-j......----Number of Outlets------------------ -L-- .......
--ma� �
Size Service WireS'C�-yy.. !U:4r---....Number-of Switches-------.:....... :. ------- ---------- --------------
.ZSizSize Service Switch_/0O!4..------Number of Receptacles............ .3.. _....-- - --------------
Size
e Sub Feed Conduit------------------Number of Fixtures...--.._.-.--.--. .�Z.. .......... .......... .
Size Sub,Feed Wires.....-----,--------Ranges................ KW.....----..... ----/ ,7S
Number of Circuits-.. PPPPPP - Oven ....... KW_------------ �... ....... ....75..
Number of Meters--------------------....Signs.......... Transformers........ .---..:-- --'------ -----------:--
• -
Misc.-'--.................. 1 7,r,.......... ----Dryers_------------------'-------------'- --...�.:. .....---- '------------
Motors.-A.-Ar--------- HP. ....�L.-........ Phase..........- --
Motors Z----_--------- HP-------------------- Phase.................... Permit Fee $1.00_
Motors............ ....... HP------------------ Phase------------------- H P Charge....._.......... ....
�-5--
TOTAL FEES /e5 �d
CO SPECTION APPROVALS
Rough Wiring.9':� - �..-- --. ....--- ..Fixtures _..:..-------------I-----------------------
DATE I..PECTOR DATE INSPCCTOR
Finish Wiring _---.-.._...- --- Motors ---"---•-.... ......... --------------_..........
.DATE INSPECTOR OA TOR
--- Final ./.�/./--"''..-.... -.. ---..__.
mn I INSPECTOR
ELECTRIC SERVICE NOTICE- , OFFICE
�.;.. BUILDING -INSPECTOR'S OFFICE
CITY OF CUPERTINO
............................ 196
To .You are hereby aut r'z t c pnect E CTRIC service for
Owner or Ten//ant .... .. .... -- -----...... ...._^... ..
At ... 1. .._..:.. ... . ............_.\......
No. of Wires ......_:..........
'Size of Wires ... :.__.:.... Size of Switch .�Q(7(7-r
. . .,�,
Motor Load .--- ---...--- ----. Voltage -.._._---- Phase
Heating Load K.;W. ...........
.........__... .-- Voltage
Light .---:- ----.:110 .V........New Service'-t ....._.Reconnect ._.-.-.----
Heat .... ....:.220 .._
No. of Meters ----L.--.-.... ,..-..-- ........-. .Move Service
.. .. .✓...Three Wire ....._- .
.........
No. of Add. Meters ----......
. Hower ...-..._....... hree ' . .:.-----------P, ove Dieter'::.-.:....-
EL-ECTRICAL INSPECTOR
104 7/61-500 .