1263LOT NO.
CAL PERMIT'.
r�.
Date f � rd IPF UN Permit No. / 2-
rf�
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
r(} wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
tf. City of Cupertino, and all other laws applicable thereto.
v Use of Premisesoz,E'r''14i
v
a Owner
n A—
CO N
—CON • TOA, AGENT
y .)— 7 (1 is f
Address 7/y
Address S
Approved
ELECTRICAL INSPHC m
i
NEW
RPL' FEES
Size Service Conduit-A.YI .......Number
of Outlets......; - ----------- ----------
Z"
-- 12—
Wi,es;;?--&W.k.�Number of Switches.._.._....._.
- J.........
Size7SerS,'i`c'e
----------
Size Service Switch ------- I.Cr-0
..... Number of Receptacles------------, ----------
)1A
Lz- 11
Size Sub Feed ------Number
of Fixtures....._----------- ----------
- .........
Size Sub Feed wixc& ..... .........
Ranges...--.-------- KW----------- ----------
—.-I-
-----I- ------
Number of Circuits......../..........
Oven -------------- KW........---- ----------
------- I . .....
Number of Meters..-...4................Signs..--------
Transformers.......................................:..
Misc ----.....Jr.----.---.--- * ---------------------------Dryers-----------------------------.........--- ------- I .. .............
Motors - HP -p-- Lzt-,I� -- Phase---...------------ Permit Fee $1.00
Motors- ----- ---------- HP --------------------
Phase --------------------
(
Motors ......... .......... HP.-------------------
Phase -------------------- H P Charge----------
-------- -'--
-- -TOTAL
TOTALFEES
------------
C INSPECTION APPROVALS
Rough L
. ... .... Fixtures ---- ------- ---------
---- ---- -------------
---
DATE
DATE
INSPECTOR
Finish W1
inish Wiring ------------- - -------
PATE
--------- --- _qMotors .... ---------
INSPECTOR Final
-- .........
ON
----- ff-7 .......
DATE
INSPECTOR ' -
i
ELECTRIC -SERVICE NOTICE OFFICE
BUILDING OFFICE COPY
,INSPECTOR'S
CITY OF CUPERTI
O
nn
----------------------oZ.:- ' -'- -----...----------.., 196.x^
You are hereby auth
ed to connect the ELECTRIC service for.
Owner or Tenant
At
No. of Wires .�/.-.r_......
-.. Size of Wires - ----: Size of Switch.e�._--.-..
Motor Load ..........................
Voltage ............... _... :.......... Phase _...-----......... _.---.........
Heating LoaId :-------- --
....... -. K. W.' __............._.----......... Voltage .............._........
•. '
Light --- ........ .1 to r:.:. ........ New Service,.-.'_ ... Reconnect .. "`}"�'•
No. of Meters _../_.....:...
No. of Add. Meters
Heat ......___..220/. ....... .... 11, e Wire :.:::....... ... _Move Service ..........
_.
Power.-_:..._... _.. Th' > s ._-------- _Mwe Meter ............
_
•
.............. .. - r............._._......_.. _...
LE TRICAL'INSPECTOR
104 161-500
{ �: `'i -�.