570_T
T•j..1n Nt .� No.STRECT
APPLIC
Ayqv FOR, ELECTRICAL»:PERMITJ'
:+ .. C Y OF;;CUPERTINO
/4
Date�t C�'� �� , 195 � Permit No.
nr rt rnrnT.+Mr Fee
ApplicatiW, er�Gty
byma_de1to the,tQfi m
Cupertino for a;pefmit.to�stall� elect rical
0 wiring and/or...ixtures as listed on„the reverse side hereof, and agrees to install..said
wiring and/or -Cixtures� in accordance with the provisions of The Electrical' 6d6'18? 'ifie
hee -
City of Cupertino; and all other laws applicable thereto. 1._ ..•s-'=''
rK
v Useof Premise's'
:a Owner' OLiVER ASv5s Aril Address
”
By 4-RO T:-/-L=-C-7771,C'"�a_. Address /D"" •SJJfl/ `SOSF Avg
CONTRACTOR, AGENT r
...'r� ApprovedWILL1AM D.
BENEVICH
Pho.e':': 1 03 S/ ' EV�crxrui rxsvecrot
Size Service Conduit,:./_.p ._..::'i..Number
of 'Ciudek -----------------
Size Service Wires.:. ---------------
,..N,6ber; of $w" "itches ........ :...:...
Size Service Switch...----!? ��.:Number of Rec ..
Pe
Size Sub Feed Conduit..................Number
of Fixtures ............_....
Size Sub Feed Wires....................Ranges...............
KW.:._ ------
Number of Circuits_----- --------
Oven ......-------- KW.....V.;.....
";Number of Meters------- ------------
--Signs.......... Transformers........
• AMotors.................... HP
Motors ----------- ........ HP
... � � Motors ....:. 2 ---------- HP
NEWRPL
! ............ 14!fA-
Phase-------------------- Permit Fee $1.00
Phase .........._....... u�
Phase --------------------H P Charge ................`............
`TOTAL FEES r
/ CO SINSPECTtON APPROVALS
Rough Wiring /. 2 ....... Fixtures --------------- --•............
OA E INSPECTOflDATE ` IN 5P ECTOR
FinishWiring _ ..:........... ......................... otors .....-. �..........---------.........
DATE INSPECTOR GATE INSPECTOR
Fina( .......................... .............:..............
DATE INSPECTOR
xr `I •. fel, frt. f,' I ' _�.f Y•lr�^rMc:
16TiICE, OF ADDITIOI4AC CHARGE
CITY OF CUPERTINO `rr -
•.' i •'BUTI.DING INSPECI'OR'..gp- J\CE: • .[ Y,t ?
Date..................... J....-.�........, 195,
Pe ..l..!,L......- ..
Address .. Q/ ` y _.
T�
Reas01.:........_
Amount $ ./.LO.'.;;,•� Signed
106 3/59.300�-
ELECTRIC SERVICE trS�yO ICE_ ;, ;°coin*�,
BUILDING INSPECTORS aFFICI
CITY OF CUPERTIN,
a Vis;
--. ...............,,,:-f
To
You are hereby authorized to connect the electric seivice for
Owner or Tenaritl'r/�..'./rMt..ePQ.�Ct4...:r.......,ry ...
P . At /i� ---z/..---- _. ........_---- .� d.%...... _
e � /
No., of Wires ..... --- --------- Size of Wires�..9Z'.._.. Size of SwitcIY"..'p.
Motor Load ............................ Voltage.'..:....,......-................ Phase ....... :............................
Heating Load ........................ K. W . .......... .--. Voltage .--------------------------
6� ' v�
Li ht ................. 1 t0.....i......New Serv¢e................. Reconnect.................:
No. of Meters._ ..........:... B V-
HeaG................: 220... v�'fhree Wire................... Move Servicer..........
No. of Add. Meters............
Power......- +` Three Phase....... Move Meter ..............
.....h ........................................
104 2/51250 ELECTRICAL. INSPECTOR
1`