1261NO. sTREET LOT NO.
® - R ELECTRICAL PERMIT
IDEC 18 Mal
a F CUPERTINO /
Date - G ,U�95� Permit No. b`
Fee $ it�'
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 toinstall 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. ...
Use of Premicrc L7.4A-Z—
Owr
LZ
Address
Address •'�'� v' J
Approved
ELECTRICAL INSPEcroz
NEW
APL FEES
Size Service Conduit.--- ...........
Number of Outlets.._.............. ...........
�Z_I
z
.(. .-
Size Sery ce Wirev2-..94,% i..A�.Number
of Switches................ .......
f ...
Size Service Switch ----- A�:%_----Number
of '.Receptacles------------ -_------....�-
--- ---
--- --------
/ze
Size Sub Feed Con-' ;.......Number
of Fixtures ........... :------ ...... ....
.(.............7�-
Size Sub Feed VKreS-7 .-...Ranges..---11-11._
KW....--------- ..--------
----.-I -
_ —
..
111.1.-.....
Number of Circuits ..._..._(........
Oven-------------- KW........................
..-.-/--
--------
Number of Meters ........ ...............
Signs .......... Transformers------------------
--- .......
.....%S
Misr:....--------- ----------------------------
D ers--------------------------- ------------- -- - -
Motors........> .......HP...:..
..- .. Phase....................
Permit:Fee
$1.00
Motors .................... HP ....................
Motors-_------------------ HP -----------------
Phase ....................
Phase ---------------- H P Charge ......
-�---
•`t
- TOTAL FEES
C/
INSPECTION APPROVALS
Rough Wiring �� Fixtures ---- :-------------
--------
oATe IXSPEGTOR .ATR
�j(-.-..R.....
INSPECTOR
Finish Wiring, 1111
oATe INSPECTOR
........
..... ..... ---L._.:...------
Motors ------ ..-W
AR
Final . I
DATE
.........
R
ELECTRIC 'SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIINNOO/
.............
OFFICE
You
are
coP�-
he.ELE TRIC service for
OwneroorrTenant hereby authoriz onnect'tC! � yyiO%�
-,/ - ...... dba/..._....... ...... ... ..........
...._..
.:No. of Wires ------ Size of Wires `... t,.oc..�......-. Size of Switch _10165W. -
Motor Load ............. ........... . Voltage ....
a;«
Heating Load ................. K. W.......
Phase -------- _
Voltage ...............
`
Light ..._.........t
10
_! .......New Service .../'.....:.Reconnect
_.------------
Nig. of Meters ... :../-........
Heat
v2b
....__Three Wire ----- _.........._Move
Service
No. of Add. Meters ._.._..
........-.
-
Power
.........
- ree Phase ..:...._.:. ...-_bfove Meters...........
-
ELECTRICAL
INSPECTOR
104 7/61