1693J
NO. STREET LOT NO.
ELECTRICAL PERMIT
CUPERTINO
Date / ��i 'U3LZ� p�
TV nC/ p p '�h�195_ Permit No. �� 7� 5
PP thoh Zf �m�d�QS�tW`I y P per t ��1
A 1 1 reb ! of Cupertino for 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 provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of
OwnerY,22
l
By J U i s�G�.fGi
CONTRACTOR, AGENT
C.hPhone: � d —
o Address
C Address
-
,Approved
EL UL INSPECTOR
NEW RPL FEES
Size.Service Conduit-/,;* ........ Number of Outlets------------------ �qq�f.` _......_i..-....-......
utlets-.----------------
0__
Size Service Wires ... -EP ............ Number of Switches ---------------- --- - ----------
Size
..........
Rece 3� .
Size Service Switch/WAV --- Number of p tacles ............ . ..........
..............
f I .
Size Sub Feed Conduit.:................Number of/Fixtures----..------------ /�- ----------
----------
Size Sub Feed Wires ........... I --------- Ranges .......KW-.......----. --------- ----------
------- : ......
Number of Circuits------------------- Oven ---- ------- KW-----.------- ---------- ----------
--------------
Number of Meters ) ------------- Signs .......... Transformers........ ---------- ------ ---
--------------
L�
Misc........................ p Dryers .....
-------- A ;�6 ---- ----------------- ---------- ----------
Motors HP Phase-----.--------------
--------------
.... ............ ........ -de ----- Permit Fee
Motors-------------------- HP .................... Phase .................... 1
$1.00
harge ----------------
Motors -------------------- HP ......... .......... Phase ......... ... .... H P Charge._.......------
------------
TOTAL
TOTAL
OVALS
Rough Wiring
........ ----- - ----- .... .
INSPECTOR
Finish Wiring
ff
----------
ELECTRIC SERVICE NOTICE OFFICG
co„
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................ ---------- ,19A
i You are hereby authoriz d to connect the ELE IC secvic or
Owner or Tenant -- .................. ...........
No. of ires .&..------ ._ Size of Wires _ J y
�...... Size of Switch
Motor Load .......................... Voltage ..................... ...._:.... Phase --.-------- ----
Heating Load -------------------- K. W. ............. ............... ..... Voltage .........._...................
Light ........_ . .`_....._New Service ._..-_Reconnect ......._......
No. of Meters .............. Heat ........__..220 �......... Three Wire ................. Move Service ..........
No. of Add. Meters .......... Mower
. .._------------ Three Ph ' � ................_btove Meter ............
.......... ..... .._
... ......
.. _...__... _...
ELECTRICAL INSPECTOR
lo4 7/61-5o0 -