1574 mac, ,'i(. IX� T.�ofl �s
NO. STREET LOT NO.
�?f l FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
A G 8 1962
Date t-rte—� 19yL z Permit No. _ 7
CITY 0 �IPERTINO Fee s / o '0
pplieation is ereby 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.
/4"�
u Use of Premicec P
a Owncr A Address ! Al Q�
N - � Address PA +
! CONTRACTOR, AGENT Approved
Phone: Nom/ ELECTRICAL SPECT03
NEW RPL FEES
.. L �.,
Size Service Conduit..._.�..�.---------Number of Outlets.................. _/_...... .._:.:...L..... .:.....
Size Service Wires.. .? L...Number of Switches-----._ ......: . .. �
0
..... ----._I_.----'---
Size Service Switch...- - ...Tlumber of Receptacles............ .L3 Z�
Size.Sub Feed Conduit.._............_Number of Fixtures:....._...._... _.�.Z ---------- ---_-.---.
Size Sub Feed Wires......--------------Ranges-----...------ KW---------- --------- --------- -- 7--
Number of Circuits................_. Oven - ---.-- KW----------- ---� -' --- ..:Y .
Number of Meters.._....---.------.-_.Signs....-- -- Transformers-------- ---------- ---------- --------------
Misc.-------.....------------------_-----------Dryers._.:......------------------------ ----1- ------- ---7 5---
Motors.... HP--3------------- Phase....................
Motors---Z-------------- HP.-....------------ Phase_------- -------- Permit Fee $1.00
Motors------------------. HP-------------------- Phase----------------:... H.P Charge--------------I -7-s--
TOTAL'FEES 1QI _X6
g yjCO SPECTION APPROVALS '
Rough Wiring-f -✓/-r:`�---- -- - -----. _Fixtures :...:..:-----------.�.:..,-----------------
O/�TC SPECTOR DATE INSP[CTOR
Finish.Wiring ................� -------------=---- Motors --------. . �---.....----
DATE .. INSPECTOR s C
Final 1 �:z4!- .....�-`-- -------------
DATE INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
l
To
You are hereby aut ed o nnectt the E 'CTRIC service for
Owner or Tenant... .. ..... ..---- .. ._--..
�7/-�/ :
At ...
No. of Wires .\........._....... Size of Wires . ........ Size of Switch J.. Ap
Motor Load .....-----........_..... Voltage ..----.......- .............. Phase
HeatingLoad ...................... K.-W. ---.---....---------------------- Voltage
Light ..............110 ----New Service .. -Rettmnect .._.._.......
No. of Meters ...... .. Heat 220 ...Three Wire..:_ :......._Move.Service ..........
No. of Add. Met ry --------- ;
Power .........._... Thr h. ._a_._M�-6-Neter _...-...-.-
LECTRICAL INSPECTOR I'
104 7/61-500 -
..-