1096 010 5 ,
NO. T LOT NO. ------62, .
APPLI O, ' FOR ELECTRICAL PERMIT
® UPERTINO
G 7 ;' �g
Date , Permit No. 2(4
ApplicaHB e e m r1{� t !� Cupertino for a permit to install electrical"
" �� - �L�F�It tJ p,
wiring,andyor.iixtures as listed on the reverse side hereof, and agrees to install said
' wiring and/or'fixii res in accordance with the provisions of the Electrical Code of the
City of, Cupertino`, and ll other laws applicable thereto.
v Use of Premi ?
v
Owner Address
y Address
co cTOR, AGENT Approved I
'P�ne: , n V —E H UC�INSPHClS11-0'
.J, NEW RPL FEES
Size Service Conduit......................Number of Outlets-._--.14
------- ---------- ----------
Size Se,vi, -----Number of Switches:�.'_._Y------ ---------- ----
1 , - -------I---
0
Size-service Switct-9-'-*------Number of Receptacles_---------- -- ------- ---------- ----------_--
Size S6b Feed Conduit..................Number of Fixtures..........-..-._- .......... .......... ..
2,
Siz' Sub Feed Wires:. -:...............Ranges..........
------ KW.............. ..........
Numb6c.of,Circults"".
....... Oven' ::--'1-.-......KW
.... .......... .......... .. ------
Number of Meters---------------- ----:--Signs----- .... .Transf6rmers...
------ ---------- -------- -----------
Misc ........................:.... .Dryers-------:--------- ------------I------'* ----- --- -.--. --- --------------- -
M
oC6 ........ HP------------- Phase....------
: Permit Fee $i.00
Motors -------------------
Motors............ HP j�HP -------Phase H,P Charge
---- -------------
TOTAL FEES -
RECORD-'OF1;1N_SPEC1'lON.'APPROVALS
RoughWiring---------------- ............................ ----------
DATE #,d I_H13;;�A
DATE INSPECTOR
Finish Wiring ................ ......................... oto&
t PATE INSPECTOR N
tFmal AM
-1- - -- ----------
DATE INSPECTOR
{! ELECTRIC: SERVNOTICE °OPYE.
BUILDING INSPECTOR'S-OFFICF.
!�, "'1J CITY OP'CUPERTINO
................................. ...........:....................... 1961.
You'are hereby authorized to connect the ELECTRIC service fo�C/'' .
Owner or Tenant!.::--`: ?l._G�r7:.W '77?�r�i_:�l�✓w'_D /
At.. (/LP nom.-7r .:
. ...................._......./.,................ -�- 1 ...__.........._........................
.
, . „pNo. of.Wires.................... Size"of,Wires:-...,.�..
........_ Size of Switch.--td...':....
.. Motor Load ......._................... Voltage _ ;.,,.-.:.,,.:w.::_.,.. .
Phase.-:...... - rrri'
HeatingLoad K. W. ...........
yj ....:-.:- Voltage ......................
✓ v zar..
Light•:.............110 ................New Service.........--.---...Reconnect _...---. ::(
No. of Meters'...../.._r.....:... -.. . . , . -
Heata-.--6....220 ... ..'. .:Thcee Wire ------------------Move Service ....:.:::,,:�,.;
f No. of Add. Meters .....:`�. .11 R`.. "' .,.
Power.��r. (/Three Phaser....-....:........Move Meter ...........:;. w .
._.............. .....//�L••rx
;:'`�. 0i 4T1/6o s0o4 ELECTRICAL INSPECTOR'
FY. ti