1020 NO. TTI(EET `-F - LOT NO.
`^ i4F ELECTRICAL PERMIT ' .�.
t1 TY CUPERTINO
APR 10 i
Date / �(' �� Permit NO. �-
4(J
\ Fcc S
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,`aind",agrees to install said
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 Use of Premi
111111 :a Owner %/ Address
BY � `o 4��Zt � P Address
[�
CONTRACTOR, AGENT t' Approved + ' ' r
C Z• /ELECTRICAL INsvecroa
t14q - NEW RPL FEES
- -
^.' -SSilz..ee'SScet:M.ce}WCoinredsuit: .......
.........
Number of ,Outlets,...-_------ ..:.. --- � '-----
r- -
';"-`'e.'%.._,t�S• aSub: ....------:-_---..:..•: umber rof Switches........=: ..-- . L'.-
wfh_ ..Number-of Rece tacles?-Size SerLxe'Si ...... ---------- :.:_ ..
ize ' eeConch
uit._......._...-.Number of Fixtures...._...... ....
.
Feed Wires....... ------- ....
------ V ------- ----_ . .
ll Number of Circuits................... Oven ....:......... KW.. . .....: .. r..... ----------- --------...:.-
Number,of Meters.....:..................Signs--- ------
MMiostco -- Tra.nsformers.-.-
-----------------------------------------------Dryers............._------------------ �:--.-P.-....e_..r:...m......
:-0:-0--
:.-
.HP - -------.. PFaze........ :rs----------'�----- - ---` -'
Motors.---------'------''HP,----------`` Phaze.......'---......--
FMotors-------- HP: '----------. Phase.... .......... H P Charge....---.......
TOTAL FEES
r. RECORD OF INSPECTION APPROVALS
• Rough Wiring ..-. ............................. ,: Fixtures '' ` ' L:.- ----..---- ---
.-DATE-- INSPECTOR -- - RETE- � � �`� T'INSPECTOR ,-
Finish Wiring --- ................. ... Motors ... :j
OSTE INSPECTOR J' DATE 1 SC R
Final ,..1. / 2
✓�.�+i•u�re INSPECTOR '�
ELECTRIC SERVICE OTIC_E_ ; <. OoPYE
BUILDING IN'sPrcrO 'S OFFICE '
^' CITY O CUPS T O'
•s. �.: .(�-. AT
:2
% l96l
To
You are*herchy,authorized to connect the ELECTRIC
/sJervice.fb5/ -
.� }On ner oo}r�Tenant ( , .....1Y!'/�J"y/-
.......1 ...... . .r. ............ '
�' p
s rNo of Wires Size'
of Wireslf', .. . Stze`.of Swttch
t- t
Motor Load6:. .:.... �`Voltage .... r - •',,Phase ^
.. ,
v
Heating,LoadK.W. .- ...... •: :.
.... . - .... Voltage ....................:............ i
:.
Light ...110 ................New Service Reconnect :.
:..
1 �No. of Meters.. :.. � --
Heat 220 : ....Three,Wire Y... Mose Service +
No. of Add'Meters
Power r .�� /""Three Phase � Mose Meter.�
5 � 104-!t1%6o-soo 3 _.LEC AL- INSPECTOR