1125 NO. SrneGT LOT NO.
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CALPEIRJM.?IT
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ERTINO
Dare
Permit No.
a t Pee `n
,Ap fhi' iyn i'0erel, r�ORMity of Cupertino"for a permit Co install electrical
M wiring and/or."fixtures as listed on the reverse side hereof,'and agrees to install said
wiring andAr fixtures in accordance with the provisions of the Electrical Code of th' .
City of Cupertino, and all other laws applicable thereto.
;r ..
' v Use of•Premig,g
a OwnerA,we t� 41ef-& Address sf
v
ro ,:By7t _P< --� Address 11 . �
CONTRACTOR, AGENT j / C) i�.lR.4 /
L' Approved
i ons: .7. �G C L _. - 1jLECrRKAL INSPECTOR '
NEW RPL FEES
Size Service Conduit......................Numbei of Outlets------..__------ -.�..e—.... .......... ......... 6
2.
Sizz'S- 'ervice Wires..........................Number of Switches.....-_.-_----- ---------- ---------- - .......
Size Service Switch........................Number of Receptacles:_........ ...3.� -3- ---------- ----:.3...30
r . �
Size Sub Feed Conduit....._:------...Number of Fixtures_................ .. 2
........ .......... ...........'...
Size Sub Feed Wires--t ----Ranges...../-------- KW............_ ---------- --------- ---------
Number of Circuits.........:*........ Oven ...I........ KW-------------- ---------- - ---
Number of Meters........................Signs.......... Transformers..... .......... .r. -------------
Misc.—
Motors..-T....... ..... HP--r-rr.-rr---------- Phase--------------------
Motors------------:....... HP------------------- Phase.................... PeirrrIit Fee. .00
Motors.................... HP-------------------- Phase......... ------ H P Charge...TOTA — -------------
Co SPECTION APPI
Rough Wirin -- -- ----- ....... , Fixtures ... ... ---- ----------
9
R
Finish Wirin ..
.. . ................ otors*
.. ....
IDATE INSPECTOR gc I
Final ...
INS,
ELECTRIC SERVICE NOTICE OFFICE
_COPY;. ._,..
t - v .BUILDING• INSPECTOR'S OFFICE
p CITY OF CUPERTINO f »:'a:, :
................i J...._.A/--S...... .. .... . 196. .
E
1# 2
You are hereby auuttnzed to connect the ELECTRIC.se ice for
,/
Owner or Tenant _
,.
,/40 " ;
No. of Wires —n, ........ Size � Wires .............. ....... Size of Switchr�.__./��.L�"'^�'��
Motor Load ............................. Voltage ........................... Phase---------------
Heating
....------Heating Load ----------------------- K. W. -------------------------------- Voltage .......................:.'.....
.... .
Light ------........110 .. ....._New Service....r..:. Reconne<t ?.. �
No. of Meters ...... ........:. ....... ,...r:r•
.Heat'--------------220 ::.........Three Wire ..................Move Service
No. of Add. Meters .......... - 1 -
Power .............. Three Phase ---- Meter .....
..................
iO4'1/60.5o0 .• t ELECTRICAL INSPECTOR