6221 NO._ T LOT NO.
��Q�?'14
�IpIP,PL' A 1FQI) ELECTRICAL PERMIT
APR 7 A9� " CUPERTINO
Date I^"� ,h9y� Permit No.'V1- WWI
'✓ ��
Fee S
r 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 fixtures in accordance with the provisionsofthe Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
J Use of Premise
Va Owner �� / v Address
P
By Address.
I"1 I T 4 f .CONTyLA(JORI AhMAr
��1 Bestor,Street APPio��'^2' 'YJ��LPti'�/�/�^��'✓
Phc ELECTRICAL INSPECrOt \ r
San Jose,.Cal. CY 3-1862
ff
NEW
RPL FEES G 7
Size Service Conduit............Numbor
of Outlets------------ -----
-Y ......-..,.,I---....-,.--
'Z v
Size Service Wires ......... ...............Number
of Switches;i.;;r..:...r..:------
--- .----- ---
Size Service Switch. ... .Q.
-----------
Size Sub Feed Conduit........-.' --------
Number of Fixtures ..................
..Y. .................i...-..:..
Size Sub Feed Wires ........... ---------
Ranges, ------- '-----� KW ...::.........
....-:........,.........-------
Number of Circuits ........... _d-_
Oven ... --.--- KW.------------
---------
. . ................
_
Number -of Meters ...... ,..k...........
Signs .......... Transformers....-.--
----------
-------.
.�.........
'tk
--..------------
Misc.............................-------.........Dryers.....-----------
.............. .......
..------ .....V.
Motors..-.. - ._. HP.
Motors ... .......--.. HP ...---------------
Phase---------------_..'
Phase ------------------
Permit
Fee
$1.00
Motors .------...... - HP ------------------
Phase =----------------- H P Charge ----:.....-......-------
TOTAL FEES—
D
Rough Wiring�°.lr°4.� NlIL'- Fixtures .!/Z..�a�.:. aR
Finish Wiring -.. Motors .._.-TIOR �' .. 7. ... .......
Final ---....2 .l�.�rd.�... ..........
DA INl�LLTOR
7oQ ELECTRIC SERVICE NOTICE `FF vE
BUILDING INSPECTOR'S OFFICE
CITY dF CUPERTINO'
To
.................. �%.._........................ 195...."
- /
You are hereby author to connect the electric se e for
Owner or Tenant ....�--- �._
No. of Wires ....:----------- Size of Wires . ��.........;. Size of Switch �,�%._....-
,Motor Load ..................... :...... Voltage ................................ Phase ....................................
Heating Load ........................ K. W........._...................---- Voltage .......................... .....
:.....
r
No. of Dieters...-..fLightsa
_
................ 110............New Serv.v....... Reconnect..................
........_
.
Heat .......... :....... 220-'� ....... 1 hree Wire................... Move Serv¢a...........
Nti. of Add. Meters ......:..... -
P Power ...:.:......... ree Phase..............:.' f foce Meter..............
'104 2/59-250 ELECTRICAL INSPECTOR.- - '