2823NO. STREET LOT NO.
D I FOR ELECTRICAL PERMIT
tj (JUL 201864 OF CUPL'RTINO
Date 7- /, 19 � Permit No. c �13
CITY OF CUPERTwNO Fee S 17,fa
ppllcation 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 Premises
3 a` Owner �% 5�,1, Address 100 45!D� Sy3'
W w By / f%�,,tr ��% rel �l en Address Raa 112 7 ?Lto
i CONTRACTOR, AGENff
U PhApproved
Ph... �d"'✓Y33
ELECTRICAL INSPEC[Ol
j� State License:_ /70995`
NEW "L FEES
Size Service Conduit ..... Y!l ......... Number of Outlets----
Size Service Wires .......... 7�2 ----------- Number of
Size Service Switch ... _Number of
Size Sub Feed Conduit ..................Number of Fixtures....
Size Sub Feed Wires..._...........Q!55_1 .......... KW _1,
Number of Circuits ------------------- Oven -------------- KW
Number of Meters ........ 2 --- ........ Signs ---------- Transforr
a
Misc.............------------------------ ryers ---------------------- ---- ----------- I- Z --J ... ......
Motors --------e......... HP ....... Vy" (]��;hz se ----------------- - Permit Fee $1.00
Motors --------- HP Phase ------------_-----
Motors ............... H Phase----_...--------- HP Charge ----------
* TOTAL FEES—. -117,
0 F INSPECTION APPROVALS
OF
Wirin- -------- -- - -- ----------------- ------ Fixtures --------------- ----- ----- ---- -----------
DAT INSPECTOR DATE INSPECTOR
Motors Finish Wiring ----------_- ---------------------
DATE INSPECTOR
P OR
Final 1477.e�'�'-4
INSPECTOR
DATE IOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
__ ......_.. � -� ..... 196.
You are hereby a razed to connect electrical service for
Owner or Tenant ... ..�.�i.�...7�"�.o.............-------............---...-----.........
At--�C1''3/D.--..lr/ �.........
No. ofWires ... .............. Size of Wires ...` Size of Such 1cd g.
Motor Load .......................... Voltage ................................ Phase ..................................
Heating Load ........................ K. W - ------- -------------------------- Voltage
Lig hL............... 110...`... New Service.....'.......... Reconnect..................
No. of Meters .. ... .........
Heat ................. 220... Three Wire................ Move Service............
No. of Add. Meters............
Power...............AELECTRI
a
104 7/63-500 se............... Move Meter.............,
CALINSPECTOR