1200 NO. STREET LOT NO.
AP • CECTRICAL PERMIT '-"
® PERTINO
Date . lOG`'J 1�6� � G C7
1 Permit No.
11 Applicatiarn�i9 ere�a ' t��tno 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
M City of Cupertino, and all other laws applicable thereto.
{.
u. ' Use" of Premi=P= - "
;--I Owner -Q • .tom''=• ayo::Address �
p) 1
r ,• »� ,!
Byres`s wee, tJ t
TRACTOR, AGENT -• ;z�
proved
Ph� G (� G I - ELEC[EIUL INSPECT N
10 F
NEW RPL FEES
Size Service Conduit]...�I"^`J.-.......,Number. of ,Outlets........... ...... .�.Z. ----------
Siic Service Wires...._'...`...."."...Number of Switches................ ......... .......... ..f:.`..'?Z
Size Service Switch. .!�T...&....Number of Receptacles............ '.".�:.. .......... '.`.":�_�
Size Sub Feed Conduit---_-------------Number of Fixtures.................. U4L-- ---------- "1... °.
Size Sub Feed:Wires,---------- ...:---Ranges---------------- KW.............. _.... -- --------- --._.--.:--""
•\Number of Giriauts.."..:._""... Oven --------- J
Number:oE:Met ::;::'.�5.•,_.....-:....Signs.......... Transformers- _....... ...
Mlsc'-'------------'---•:J::_':7":............Dryers-:-•-----------------......-------..... ----(---- - -=-7:J^ n.
Motors--------.:a�"-.._ tI-Ig":{ a.c':ra!Phase................._. ,
• .
motors---.-------:--."y.HP......-.-----slrPhase--------------------
Permit Fee $1.00 i=
Motors -- - t,HP.i'- rhaPhase. ........ H P T __
,,- CI ge
TOTAL FEES /0 ••� t
C INSPECTION .APPROVALS ,
"C � _
. ............Roug /.�� Fixtures -----------------\:`�......... :
,.•'tion DAT[ INSPECTORS
DATA T"ni tX3P[(TDR
y
Finish Winn ..."....:""-"-.. "."".------
Moto,
----------..._--._ ............... ....".
DATE INSPECTOR;- DAT { X PC*TON -
r •:..� Final
I� ELECTRIC._SERVICE NOTICE OFFICE
{ � _sulLntNo IirspECTOIts orrlcE COPY
_
CITY OF.CUPERTINO
.............
You are hereby suthoyto connect the ELECTRIC service for
.y�Qyvner,or Tenant ----
O �s`
At .. Y..C.....��t..�............. .. ... . yG.GL - .......
No. of Wires .................. Size of`Wires . a......... Size of Switch .`00" •
1 Motor Load------......................... Voltage -----------------------...... .. Phase----------------------------
1 Heating'Lbad ----- K. W. ------:_---....----............. Voltage
` Light ......F.. 110 ✓ ..New Service .Reconnect ... .
No of Meters ...._. ...
/Heat 220��....._.Three Wire .. Move Service _.......
No. of Add. Meters ....::.... '
. - .__.
= " Power ' '. 'Ph Phase ...Move Meter ..
k; 104 1/60-500 s .. ECTRICAL INSPECTOR a Se ( 4y