616f-
NO.STREET LOT NO.
FOR E
G OF C
Dat ®(71 , 195—
. t"- -11 ^1r``n(�
��p$ �to� k h "R-Ttp Qcity of
wirih'g+kdd/or'fixtures as listed on the reve
wiring and/oi fixtures in accordance with th
City of Cupertino, and all o.her laws appli
Use of
Owner-��•
By
CONTRACTOR, AGENT
nFl. T4L E I L-, Cl R11
Phone:
LECTRICAL PERMIT
UPERTINO
Permit No. w /41
Fee $
Cupertino for a permit to install *electrical
rse side hereof, and agrees to install said
e provisions of the Electrical Code of the
cable thereto.
Address
Address�j
Approved t%J%1� /�ilr(fM-'1- 4)
ELECTRICAL INSPECTOI - e ';
. NEW RPL FEES
- Y .......
gi—Ze Service Conduit ...... .
Number
Size Service Wires: ......... ......
t.:.Number of
Switches -----
--------
Size Service Switch----- --------
Number of :Receptacles...
.
. ......
..... ........
Size Sub Feed Conduit ..................
Number of Fixtures.:.....:. ......
..........
..........
..............
Size Sub Feed Wires ....................
Ranges .......
------- KW.........._........_
..
...........
... .........
Number of Circuits---- ..............
Oven
.... KW ..............
..........
..........
...............
......
Number of Meters ......:........:.....:.Signs.........:/
Signs .........
'I
Transformers.........................
-5/P ----
Misc ....... .........................................
Dryers ...... -----------
----------_------ -
-----------
--- I -----
-----....----
---- -
Motors
motors HP.....------.-----
Phase -._---..._
...............
Permit Fee $1.00
Motors ..... .. HP ... ...........
Phase ...
Motors ------------------- HP ...............
---- Phase.----------------
HLP Charge
.......... .
TOTA
i Rough Wien R/001, Fixtures'_0171-025 ... I...
N ---
Finish Wiring ao2.. ..Motors ...
PATE INSPECT
.. r; , . Final --- iaATY, (a .6
- ELECTRIC, SERVICE NOTICE OFFICE,
;, ,LSI,,,;.
/Vp'
��, BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO --
'To '
You are herebyaut ized to connect the cloehric service for
Owner or Tena.-._......_/...,../.�........_ ....... ..... .. .......
q _..........
�GY
At.......:.....�L%YXi. .....::.%: :....
No. of Wires .✓�............... Size of Wires .......�.....:......... Size of Switch
Motor Load .----_ .................t--- Voltage. _......----------------. Phase --- :........ -----.:..._......a...
Heating -Load ..................... --- K. W. .............
--------------------- Voltage .........-----.....----'---..
�Light......._..._.. IlU.�. ....New Service:_ . Reconnect ..................
No. of h ...... .
Heat .................' no ----------Three Wire................... 'Move Service............
. No. of Add. Meters............ � .. - ,, .. .
• Power ...... :........,—Three Phase ............. ..... Move Meter.... ..........
. ... ....._....................
................. ...............
............
104 2/59-250 ELEC'rRICAL INSPECTOR