1202 NO. STREET LOT NO.
F ELEC
TRICAL PERMIT
CITY .CUPERTINO
U / OCT 2.."s 1961
Datej U 41 C Ij Permit No.
CITY OF 6UPERTINO Fee
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
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.
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u- Use of Premicec �7��2fie--a
a nn
a OwnerOy t�✓`c-2-� n
Address
By. Address v.
C ITRACI'OA, AGENT Approved `
ELECTRICAL INSPECTOR �.
NEW RPL FEES
¢ i Size Service Conduit._ -......-.. .......Number of Outlets.'_.............. .�.z r -..__... ....�........
Size-ServiFe'Wires-----4..........Number of Switches.....:....:..... - .L—_y....
7 12 .i
Size Service Switch_ c
�. f.11...._Number of Receptacles....-------------c 9... ..--- ---- ---.---_.....
Size Sub Feed Conduit------------------Number of Fixtures.................. ... -.. .......... .............
-"
Size Sub Feed Wires.:..................Ranges................ KW..--::...:--- - l.. ':..
Number of Circuits............._... Oven - - , W - • . �
Number of Meters.......: ........-Signs.......... Transformers.:..`.-'- --------- ---------- --------'-
Misc:...----------- j`-• .................................. ----
�.. .......... ..............
Motors......5...........—H!~s�:�y�::... Phase.................... Permit Fee $1.00
Motors-----------------.- HP._`.._...-........ Phase........--- I
Motors------------------. HP.: t'--... ...... Phase.'..:..--....='AHP Charge...... ..:......I.1.._.`.: '
TOTAL FEES--
INSPECTION
EES .INSPECTION APPROVALS
f/�/ „
Lough Wi
rm�✓ f�'--- -- - -------------------- - Fixtures -- -------------- --`
Nt - DATE INSPECTOR } DATE INSPECTOR,.''.,
Finish Wiring -- ---- ----------------------- Motors ----. -
DAre IxsPeeroe /DAT[ .� PCCTOR j(�r f'� •f _
Final ...JI�y��',-i ... it a,
OATL .1NSP[CTOR� -.�
/ ELECTRIC SERVICE NOTICE Oi'PICE
5 COPY
BUILDING' INSPECTOR'S OFFICE .�_
CITY OF CUPERTINO
I
TO
oab nuthgc2Cy1 to onoect the.ELErwice for
OwnerorTenant
Y
At.
No. of Wires ..� ; ..........:: Size of Wire sp�:-:..._..} Size of;Switch
Motor-Load ................. .......... Voltage ;..................:.............Y Phase....:.....- {.
Heatin Load K. W. ..... Voltage
No.
....1 Light ........._...110 .�<------New Service"........ onnect
Reconnect
. >;p` _.•,.
o. of.Meters . ............ - _ •.,..
No. of Add. Meters
eat 220
------Three Wire-------------------Move Service
..........
Power ..... Three Phase _ .....Mope Meter.
104 1/60-500 �a,t 7 ELECTRICAL INSPECTOR 0 a