1187 tip' Fz� ���
NO. T CCT LOT NO.,
&AMWEOR ELECTRICAL PERMIT
UC F CUPERTINO
`� CT 1961 /
`iDate " (e J.- Permit No.
N
�i1�� ' �RUTI @
Feet
Ap ton 4icreb a rty 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 t
City of Cupertino, andLall,other laws applicable thereto.
u '–Use,of,Premise,
❑ / .
� 'a Owner — /
Address
>, By 7. .�. - �; Address
CONTRACTOR, AGENT
uT_ A Approved
,t �.Ph�e. '`I
E HCTRIGL INSPEC701
Size Service Conduit......................Number; of Outlets.................. � - - ---------- -...
—,
Si.e•Serv::e Wires..........................Numbed of Switches------------:.,. .?Y. --..---. .._l Y-o
Size Service Switch........................Number of Receptacles.._------.: .:.'�...'�... .....�I..... .6
Size Sub Feed Conduit..................Numbers of Fixtures.................. ..1:.... .......... ......?.Z.O
f ^
Size Sub Feed Wires...................Ranges-------------- --------- --------- ---------- ---------
- .�
. m
' Number of Circuits----------- ------ Oven L............. KW:''.::.. .... .......... .`.... ..
Number of Meters................... Si ns... ...... Transfor �5
l ,r
Misc------------ ...............-.................Dryers................................ ---.... .......... --------- ---------
Motors.....6------------- HP-------------------- Phase----------------- Permit Fee $1.00
l Motors:----------------- HP-------------------- Phue------------------ —
Motors------------------ HP-------------------- Ph e.---------------- 'H P Charge--------------L.ef...2.
TOTAL FEES y 4
INSPECTION;APPROVALS ;
. Rough Wiring ... Fixfu2es ....: ..............L........._.-....... ....
� DATC INSPECTOR OATC �INlPEDTOR
Finish Wiring ...._.....-.... . . . .. ..tinaif
otois, �� .... .-... i
.--
OATL INSPECTOR 'Z••' DA R
(14.1
car . . ..........�.. ..... ..:........ 6
J DAT[ IXSPLCTOR
ELECTRIC. SERVICE -'NOTICE OFFICE OF
' BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO `-%
. !
-.7--- ----------------------- 196
To
You are hereby pt 'fed to connec..the:ELECTRIC serv'ce f
o- Owner or Tenant
At .... _.
No. of Wires ... ........ tze of \Vires _t....��...:.:'...., 2Size of Switch•!�
Motor Load ..................... .... Voltage ... ....................:Y �4.,� Phase...:.'.:'.
Heating Load K. W. ....._
......... ......._:'::... Voltage ........ ......... -
Light .._------110 ......New Service -- ......_.Reconnect
No.of Meters ... ....._.- Heat _220 � ......1'liree Wire ......._......_.Dfove Service ..C.,_..
No. of Add. Mete' .
�1�,,�, �.. Power ..._...... T ee Dfove Meter ......
INSPECTORF LECTRICAL
1047/61-500 t