1134 ICA of s�
NO. STR LOT NO.
® O ELECTRICAL PERMIT
i OF CUPERTINO
t gE 13 1961
i ( �
Date - •. , 193t�1 ,• Permit No.
CITY ' ; ^1
1 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
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
Cityrof Cupertino, and all other law ,app le thereto.
st v Use of Premi
Owner Address l «;
v
J H Address
APProv
'E-ELECTRIC SP Cl�
l
NEW RPL FEES
Size .Service!.onduit......................Number of Outlets................. .......... ....... I:;a_=";^"'"•:
Size Serzice Wires..........................Number of Switches....-...----...- ---------- - --:n.:.
Size Service Switch........................Number of Receptacles-.-_......- ---------- ---------- -----:.......-
Size Sub Feed Conduit------------------Number of Fixtures.................. .......... ........... ..........
....
Size Sub Feed Wires....................Ranges---------------- KW.............. .......... .......... .............. .
Numbe Circuits......-"---"-... Oven ------------- KW.............. ------ .......... ...............
Number f Meters.............. .........Signs......... Transformers........ ---------- ---------- -......-...:..
-......`.... -----... . ...
Motors,==- -----"HP�----�--------- Phase.---.:-::---- _ Permit Fee $1.00 ,•
:Motors_':-....-------`-.,HP.-----�------_:...:Phase....-----------�---
-MofoFs_ ".. :-`.AHP- ,1" .:..-.-. Phase-------------------- H P Charge----...':;•r... . •:.:rir.t:.:..
_ TOTAL FEES' . ri
RECORD OF INSPECFIO °APPROVALS b
RoughWiring --------------- ......................--.... Fixtures-:_-:................. ------------ .......
GATE INSPECTOflDATE INSPECTOR
Finish Wiring ---------------- ...........:.............
otori �----- `
nAre INNrccroR . -FinalIN I.
ELECTRIC SERVICE NOTICE
F BUILDING INSPECTOR'S OPPICE
i
CITY OE CUPERTINO
4
.. �.-:.-.-....... .......... 19G -.
To
You are hereby auth ' ed to connect the ELECTRIC service for
Owner or Tenant ..- ._�.!' T--................. - - ..-.-- :..
. ..............
At
No.,of Wires ..........:-....,• iz rbf.Wires :::...:... Size-of Switch /?
Motor Load;:.:-.::...:.._..,:,::. . Voltage .......................... Phase. .........-
Heating.Load--......----........--. K. W. .................................. Voltage
Light ..._..-.....-110V .:.....New Service---.-._ ...Reconnect :.`.........:.
No. of Meters,.../.......... •• .
' . Heat ..............220'..^v:.--- ..-
-....Three Wire ..................Move Service ....-.w
No. of Add. Meters ......... y. -
. , Power --._--------- +.+r hree Phnse........:.........Move Meter ..........e
(�"._- ELECTRICAL INSPECTOR
X101/60-500 .