1206I 9 9 S-0 I
NO. STREET LOT NO.
AC FOR ELECTRICAL PERMIT
�� OF CUPERTINO
�OCT2 �19i� /f�
Date , 1.9§ Permit No.
1 [[ /� ..C❑T q� 1-c� �� b
QJYltiddlrs hCtjPER jXG 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. '
v' UseofPremis"
C. /� .. ..
a` Owner
By �1
ONTRACTOR, AGENT -
I
Address
Address
I -Approve(
Size Service Conduit -..I ..... / --- --------- Number. of Outlets,
Siz'C,Service Wires ----- �t.4-........Number of Switches..-.._......_.
Size
witches----- ----------
Size Service Switch ... 1--gn-A Number of Receptacles............
Size Sub Feed Conduit ------------------ Number of Fixtu . reJ ------------------
Size Sub Feed Wires ....................Ranges................
' Nurnber of Circuits........ . ------
Oven --------------
!
Number of Meters ....... ..............Signs..........
Tran.
Misc------------------------- ----- --- ------------
Dryers -------------------
Motors Phase .............
Motors ----------- ---- IHP---
--------- Phase. -----------
Motors .................... HP --------------------
Phase -------------
NEW RPL
------- I
FEES
......... �d- -
---------------:- ------- ---------- ----------
.—
Permit Fee $1.00
H P Charge----------------
I01AL FEES -
F INSPECTION APPROVALS
--- 0 W
------ Fixtues` ------------------
- ------
- ---- ---
DAT[ 'INSPECTOR DATE 'INSPECTOR
Finish Wiring --------------- 1 - ------------ otors;
--- ------- ----------
N5, 'C'
PATE INSPECTOR-...---
........ _-J.Pinal
NSPECTOR
You ar
Owner. or I
At ....... _10
No. of Wit
ELECTRIC
BUILDING
CITY
hereby aut
SERVICE NOTICE
OFFICE
INSPECTOR'S OFFICE
JCOPY
?Lz:,,�. ,
OF CUP ERTINO
w'
..................-- /-----------------
1964;
..e�f ftie CT•U!-TUiI-�
•.. -
...fir? ............. Size of
Motor Load Voltai
Heathig4Load`>r:......................: K. W
service for
r -
Wires ...... .....:.... Size oE.Switch/C%0/Z%�.
:...-'--- Phas'a..'..`..'.._�......---.........
.........................
L 10'.:..Reconnect-----------
--
...
'20,�f�::+::.Three;. W,ire-:'c.<.%":....::iMo've)SehJice:.::.._... •
—104 1/60-500 , � s ECTRy6AL INSPECTOR y`1"