135 SC E7 t 1• L07 NO.
�,' `1
s PPLIC N. ,,F�O�R ELECTRICAL PERMIT
I� 0[n'CUPERTINO
Datei/�i3 r /
c.---+s � , 195-fPermit No.
i� Fee $ 9'
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
City of Cupertino, and all other laws applicable thereto.
Use of Promisee �tLa vaut-.-f
La _
:a Owner % - P��4' •/ EeFCaslddress 10
19 BY Address
CONTRACTOR, AGENT
Approved
ELECTRJ DPhone: pacy�•�
NEW 'RhS, FE Es
Size Service Conduit.j.�.- .......Number of Outlets.._. ....... .. .....
Size Service Wires.... �r ..Z/......Number of Switches—
-----\, -�....... ...... --- -----
Size Service Switch...... ........Numbe�-er -------- ...........
r 0 eter 01,04", --------------
Misc.......-Size Sub Feed Conduit------------------Number of Fixtures.... ............ .A3.. .......... /,1�0....
Size Sub Feed�Wires...................Ranges......../...... KW-------------- ---------- ---------- --
Number of Circuits..._.............. Oven ----I........ KW.............. .......*-- ---------
Number of Meters.../....................Signs..-------- Transformers-------- ---------- ----------.. ... ....... Dryers---------------------------------------- ---------- ---------- ---
Motors i4�- --- --- ----- Phase--------------------
Motors.................... HP,�� Permit Fee $1.00
.................... Phase--------------------
Motors.................... HP-------------------- Phase.................... H P Charge--... --------- ..............
TOTAL FEES
O F INSPECTION APPROVALS Ca
Rough Wiring ---------- Fixtures ...... --------------
DiTE
;4-
#
MT 0 R
Finish Wiring otors
DATE
T1 INSPECTOR AT OR
tFinal ..... .....
ELECTRIC SERVICE
J, TICE OFCOPY
BUILDING FI E
CITY OF CUPERTI
............. ........................1 19....0
To
You are hereby author' t 3nne Electric service for
Owner or Tenant ...... . ....................
At
No. of Wires ...... .............. Size of Wires ......... Size of Switch
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters ..... Light ..............110 ... .......New Service ...... .......Ete�oanect ................
Heat ................220 ......Three Wire ..................Move Service ..........
No. of Add. Metes ..........
Power.............. ,khrm Phase..................Move Meter............
.....................
104 6/59-250 LECTRICAL INSPECTOR
/(/ • � � 6(I�i. LOT NO.
NO. STREF./
APPL =A �rON FOR BUILD((I PMe
t ,-CITY OF
o
Date Tf' t9�r1 !gym�,�No 1
Application is hereby made for a permit to—L
�. y �pe n ��f AUuilUmg
' a story,Type
f �\
at
to be occupied only as /�T ref tiGe eP GGe L P�
in accordance with Plans, Specifications and Plot-Plan,filed herewith.
Estimated Value of Improvements,$ c, 2d �� . Fee$ J/
v
C It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
u all other laws applicable to the construction, location, and use of buildings within the City of
.Cupertino will be complied�w,
OwnerAddress J
By�r1 er7K• Addres it 0
VCONTRACTOR, AGENT
Phone�U- .24; 7,9,C- Approve -
BmL G INSPECTOR
-lj
RECORD OF INSPECTIONPPROVALS
3
FOUNDATION
DATE NSPECTOR
FRAME
DATEINSP ,T'OR
LATH and PLASTER -;•:
ATE I NSPE Opp n;k
S -
FINAL BLDG.
DATE N OR�e
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
;DATE ( INSPECTOR
I