1186 NO. SA LOT NO.
�AIFACTTION�I�t�FO ECTRICAL PERMIT
CI4Y10! ERTINO
Date p ble ( �i'rt,l- PFR ' Permit N.
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
wiring and/or fixtuies.in accordance with the provisions of the Elediical'Code of the
City of Cupertino, and all other laws applicable thereto.
n
i v Use of Preirlisez'� -'�`��/zr'�:.ed- .,.....�s" '�_�. . �•;=. '
�a Owner .C�ri,f�irLYii/'>�`7i (�jwAddress�
CONTRACTOR] AGENT
App rovedEcecrnrcAL INSPecroa
NEW � APL FEES
Size Service Conduit......................Number of Outlets........... ...... ...
Z 2L 0
- - ----------
Size
Service Wires......._._....---_-...Number of Switches---------:....... .3y. _�'c`.1....j-.:-.p
I " -
Size Service Switrh............__......_Number of Receptacles.._........ .. ...'�... ......i--- ---- 5..�-D
Size Sub Feed Conduit..................Number of Fixtures..---------------- .1 ' .......... .... />
Size-Sub Feed Wires--------------------Ranges...... -------- KW......:------- -------:: ........... .......
Z.S
Number of Circuits................... Oven ....I........ KW..........--- ---------- --------- ---------7,
Number of Meters........................Signs.......... Transformers........ .....:
Misc.-----........................----.._..._...Dryers_--I---------------------.----------- ---...... .....:.--- ----`-7-5- t ..
HP.-------------------- Phase-----------------..:
_ . Permit Fee $1.00;. .,,.,:r.'A
• 7Motors...---------------- HP------------------- Phase----:...............
Motors------------------ HP----------------- Phase......:............. H P Charge..:.-:::.:...:. ::/.. "s------``-�'
______..-TOTAL FEES -•• �.. �,,--=,t
`7C :'k..h�._._�. C ...---.NSPEGTION..:APPR � .......----------
i . . v _
Rou hWinn �f Fixtures
A G�-, IM9P¢CTOR NSPE<TOR
Ir FinishWirmg�._ ulS'.- -- -............... otors / --- 6,J, "'51...-------- 4
!F
PATE , Ix SPECT OR I oAiG �'IxSYIcrOR
' Final ...- --./-�6.`.`.".....-�../...y.it1
• t DATE v INSPECTOR
ELECTRIC SERVICE NOTICE - °o�YE,
BUILDING INSPECTOR'S OFFICI
-CITY OF CUPERTINO: �✓
?XT
You whereby aut ed to connect the ELECTRIC sen-ic jo
'.-t`•0...
Owner or:Tenant ... ..tet'
At .�-o G
No wf Wires �,+.;., w^ �-`--.�
....:. '•-Size-of Wrres ..... .. ::....Sae of Switch .:.
Motor Load...: ........ .�
+rVoltagea
s t zz
Heating Load ..... . K. W ` -�"'""""'z`- :LVoltage µ a�� +
s
Light .......•.^'110 f- ." New$rice' `'�"••� .Reconnect
No. of Meters ...
..................... ^.--'?� •.w..+.+..r..,._
Heat ......: 220 �i. ... .Three
No. of Add. Meters .........1) ,
Power .. Th base _Mope Meter .
5. ^
la4 t/Go 500.?4� spa t ` ^ / tEECTRICAL' INSPECTOR C/