2102 (2) l q 24 3. 1 8&ivy,' .
NO. STREET _ LOT NO. / 7e
{�APPLICECTRICAL PERMIT
CUPERTINO
a JUN 2i 93 t._. 116 2
Date � , 19� Permit No.
�t�X �� CUPERI.,,,,. l=ee �� as
:m App icatio �s reby 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
c wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all Other laws app/licable'thereto.
v Use of Prerniseq
a Owners A� 460-�v-4'6G, Address ��2u�c a-fin
BY ��'A" //YEY) 'rAddress
CONTRACTOR, AGENT -
_ 1 Approved
`\ Phone: '� ELR UL INLTHC110fr
NEW FPL FEES
Size Service Conduit------Z Y.. ---Ndmber of Outlets......._.....__ -- --- -IS-- ---------- ---------
Size Service Wires----------."3:# .yNumber of Switches_-..-..__.._. .-17- ------
Size Service Switch-----)�P
---17 3YO
-----Nurnb� of Re�eptacles------------ - - ---------- --- ...
Size Sub Feed Conduit-------------- ---Number of Fixtures-- --------------- - -------- - ---
Size Sub Feed Wires------------------Ranges-----1--------- KW............_ ---------- ------- -- --------
Number of Circuits------------------- Oven -./--------- KTX'----------- -- ---- ---------- --
Number of Meters.--.-..---.-----------Signs.---..._ Transformers.._.--- -----
Misc------------------ ------- --------------- ---Dr ers
Motors-----
...� Permit Fee $1.00
-------- HE--.... .) Phase
Motors------------- ------ HP-`-------- --------- Phase
Motors-- ----------------- HP--- -------- ------- Phase------ ....... ..... H P Charge.... -- --- - -------
TOTAL -EES
RECORD OF INSPECTION AP (,V
Rough Wiring - --- ----------------------------- Fixtures ... .
......... . .. ................ .
INSPECTOR
,E
Ec
c,
TO
-117>, INS Motors T
...........
- - --------------------
Finish Wiring ---- ---------
K$,TCT..
SPECTOR ...
Final ... - - .--- --)�- t.�I.... ----------------------
DAY% INSPECTOR
Emlar,
J
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO b4-7
...........-------------------_{J--�_t_�� 196.
To
You are hereby auth iz d to connect electrical servic for
Owner or Tenant -------- -.. . .
.
_.. _ - ---
At At
No. of Wires ..-...--- ---- Size of Switch'.66.�
_-----.. Size of Wires -----�..'..--
Motor Load ---------------------_ - Voltage _.._..--..-..........------_ Phase
Heating Load ----------------------- K. \\r. --......-
.. . ---- Voltage ---_-------- -...-. ... .....-.
Light
No. of Meteor-._ _-. -- New Service..._,-- erunnect-_........__.-
...---�._.-.-.
Heat-__...-. .._ '20.._.--__ Three Wire....... Move Service....
No. of Add. Meters...-.......-
Power................_......._...- Thr hale. .....-- Move Meter-,.......
ICAL 1 ECTO
104 1/63-500 VVV \
IiLECTRR