1941 (2) o?r 1 STREET
NO. �TREE� LOT NO. � .
P
10X- 0N-y-F�(��ELECTRICAL PERMIT
AR 8 ,�,I''P'1' ��7 CUPERTINO
Date 5�5 I� Permit No. �A
Fee S
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.
v Use of Premisrt
c �
V
a Owner 67 Address v v
/ .
By
ONTRACTOR, AGENT
Approved/ 9—
Phone � LECTR[UL INSPECIb;
NEW RPL FEES
I G� '
Size Service Conduit.../-. .gh
__..._.Number of Outlets------------------ ---------- ---------- -- -- �O
a
Size Service Wires....... ----......Number of Switches................ 2 ... ---------- ---
Size Service Switch..e�_..._...Number of Receptacles............ . ?-`-t-. ---....... ._. .
Size Sub Feed Conduit----- ----------Num her of Fixtures------------------ �- _-....... ...
Size Sub Feed Wires------ ---- --------Ranges----------/-- KW.............. ---------- ------- --------
Number
.---Number of Circuits.._... ------- Ovcn ------/---- KW-----------.-. .
Number of Meters.......!---------------Signs.......... Transformers........ -_...---- ---------- ------/-/---
Misc............... ..................__-------Dryers...-----/--------------------------- ------- --------- -------
Motors------ ......... HP------------------ Phase...-------...----
Motors.. -------------- HP-._.------------- Phase------------------ Permit Fee $/.l
Motors-------------------- HP--------------- Phase-------------------- H P Charge---------------- -f��
TOTAL FEES ��.•�
O PHCTION APPROVALS
----
Rough Wirin 3 'iqA I Fixtures ---------------------
/ / P T DATE INarecroR
Finish Wirin !�---------- ' .. ................TLFmal
----
DATE INSPECTOR
C� 1=�..J...- " - ...................
DAT[ INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
coa�.
BUILDING INSPECTOR'S OFFICE
' CITY OF CUPI;RT!NO
_..
-- ---------------� ---- 196�--
0
You are hereby authorized to unnect (1-e L CTRIC service for
i
Owner or Tenant .
At
No. of Wires ............. Size of Wires ...... Size- Size of SwitchQO!!!� ..
Motor Load ............ Voltage -------------------------- - . Phase.. ................
Heating Load . ................._. K. W. ........ Voltage . ..........
Light .............t to ------ New Service .�...._....Reconnect _..----........
No. of Meters . _
. _...- -
Heat --_......__220 ..._Thrm Wire ...__....._..._Move Service ----------
No. of Add. Meters .._._" Power _........_._ r/�Tfl re P �.Move Meter ..._-------
-----------,,1 _ Lam.
/ELECTRICAL INSPECTOR
104 7/61-500