1940 (2) NO. STREET( � � LOT NO.
® PP T . �7��({Q�R ELECTRICAL PERMIT
I Fes+ CUPERTINO
1M _ 1963 /q Q
Date �/ (�[ R , 19 �✓ Permit No.
1 I Pp Z1d ' QJ }QAPPTRk9 Ice
A I a reb t i I y of Cupertino for 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
CCity of Cupertino, and all other laws applicable thereto.
I
u Use of Premises
c "ELECrRICAL
—
a Owne Address
BY AddressON ACTOR, AGENT�C � � ApprovePhanr. C7
/ TYCO C... NEW RPL FEES
Size Service Conduit_Z ..-------Number of Outlets.................. .. ........_L. _ 0
- ...CFO
Size Service Wires.._......................Number of Switches_.............. _._.._- ---------- t ---
Size Service Switch.... --------- of Receptacles............ G _�.
7.. .......... ./....90...
/D
Size Sub Peed Conduit.......------------Number of Fixtures.................. . . .......... ....
�...r.J�
Size Sub Feed Wires----- --------....Ranges..---/------ KW------------ --------- ---------- ---------L----_
Number of Circuits----'- ........ Oven ---I------- KW-------------- ------- --------- --- ------ --
Number of Meters---------/-------------Signs---------- Transformers...._.. ..
Misc----------------..---. ------------------- -----Dryers------ - ----------- -- ----- ---------- --------L....
Motors`------ /'------- HP------------------ Phase-------------------- Permit Fee $1.00
Motors------------------ HP----------------- Phase--------------- 00
Motors-------------------- HP-------------------- Phase............. ----- 1-I P Charge........._..... Ds-
TOTALFEGS
�j RfiC4JR INSPECTION APPROVALS
Rough Wl[In /3� Fixtures ------..osrz..._-"L...-"-----------
�NSP[cTCR...-...
gJ'..._.- f' '
7osr _
Finish Wiring'- " �_. - ------- Motors -.'.-------. -------'�-- -�-
--'.. ......` .. . --
Finish
RSPECTOR
Final ----------------------- Y........
OAT[ INSPECTOR
ELECTRIC SERVICE NOTICE - OFFICE
( OPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
0
You are hereby authorized to connect the ELECTRIC service for
/ Q
Owner or Tenant ....... . .��/lt��/... /�„tr for
Owner -,..�j.jam•
At ......
No. pf Wires ..�_.....___ Size of Wires-o5............ Size of Switch
Motor Load .__.... Voltage -----_.......... .........._.. Phase......... ........................
Heating Load ......... .......... K. W. ................. ......... ... Voltage ..........................
LHeat _U ..._.
ight ..............11U ' ...._.New Service• _G/......Aecnunec't ................
Nn. of Meters
......__
. ....... �� /_.......Three Wire ._............._Move Scrvice ------_--
__........__
No. of Add Meters .......... Power
_........._._ .%Three P � � .--..........__Noce Meter .._._.....
ELECTRICAL INSPECTOR
104 7/61-5oo