595 (2) NO. ST0. ET LOT NO. `S .'
APP IC TIO OR ELECTRICAL PERMIT
�® %�ZCI OF CUPERTINO
1(VIAR 9- 1960 `!
Date 195— Permit No. /
DTI��(� Fcc S � �— �-`—
Applv,TM i.rh cbr,l'�RE b kRb ity 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 ttthereto._
v Use of Pre
c
Owner. Address
" BY Address
CONTRACTOR, AGENT
Phoned
�Z3 APProvedazz
ELECTRICAL INS►ECrO3t
NEW RPL FEES
Size Sernce Conduit {LNumber'of Outlets-----------------. ...._._. .._..4. . .,_
. ......
Size Service Wires...-wZ.....Number of Switches................ .......... -----....I _...__.......
Size Service Switch_J-C jn------.--Number of Receptacles------------ --------- --- ------ ---------_...
Size Sub Feed Conduit-----------------Number of Fixtures_................ ......._. .._...._ ..............
Size Sub Feed Wires-------------------Ranges................ KW--------- -------- ---------- --....._-----
Number of Circuits----------------- Oven -------------- KW............. .......... ......... -------------
Number of Meters........................Signs.......... Transformers-------- ---------- ----
----- -------------
Misc---------. "---------------Dryers..-------------------------------- -------- --------- ------------
Motors........... ........ HP-.........._....... Phase-------------------- Permit Fee $1.00
Motors------------------- HP------------------- Phase--------...-------
Motors------------------ HP.................... Phase------------------ H P Charge.-------------I.....---.---
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring................ --------------------------- Fixtures ..-----------...... -----------------------
DATE INSPECTORDATE INSPECTOR
----------- ---------FmWising ..........' - iMotors
ATLO INSPECTOR DATE
INSPECTOR
�if
%Y Final
L _11; DATE INSPECTOR
-- ELECTRIC SERVIGE NOTICE OFFICH
BUILDING 1NSPECFOR'S OFFICE
! I CITY OF CUPERTINO
�Li ............- ......
You are hereby I tl zed to�conitect the electric service for
Owner or Tenant - L .....y .. p
i ,rI� t�
No. of Wires �;-` .. ......... Size of Wir�<..........._ Size of Switch/.CQ/ ./Ta_..
Motoroad . ..... Voltage ----------- Phase....................................
Hearoa ... ------ K. W. ..... ................-_........ Voltage ................ -... ..........
Uj v / /
.................�Light................ ItU....___..New Semce...✓.......... Reconnect.............._..
flu. u( R�
Heat.................. "22&:.--._-.Three Wire................._ move Service..._...-_.
Nu. u(Add. t,fetcr>....-___.._�
Power..._......_.. T%h/re'ej'�Kaas�see�..............._ Dfove deter...---.......
._.. t�S�arGLiL.t4f�
.....................................................
104 2/59-250 GLL•CrRICAL INSPECTOR