1069 (2) NO. EET LOT NO.
prjactha ELECTRICAL PERMITUL 5 19WIk CUPERTINO
� p (a
Date Permit No.
lor Fee $ X�
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.
J Use of Premises
au ��Owner ��> > >o Address
By Address
CONTRACTOR, AGENT ,� e
Approved
ELECTRICAL (NSPECTM
NEW RPL FEES
Size Service Gc)nduit--/---,9............Number of Outlets.................. ./..7.. .......... ...
Siz Service Wires............7�-------Number of Switches---------------- -
Size Service Switch--/e..a-4.......Number of Receptacles....._..... 2.�.. ..........
Size Sub Feed Conduit..................Number of Fixtures_................ 17.- ......... ....
Size Sub Feed Wires....................Ranges....../------- KW............. --------- ---------- ----------
Number of Circuits------------------ Oven -----l.-..... KW.............. .......... .......... ........
Number of Meters....Z................Signs---------- Transformers-------- ---------- ---------- --------------
75
Misc------------------------------------------------Dryers----/------------------------------- .......... ......... .......
Motors------'/----------- HP-------------------- Phase--------------------
Motors-------------------- HP.................... Phase-------------------- Permit Fee $1.00
Motors-------------------- HP.................... Phase-------------------- H P Charge................ ..
TOTAL FEES- 6
Co INSPECTION APP
Rough Wiringl... !X - -- ----------I--------- Fixtures
OR
Finish Wiring
D TZ INSPECTOR
Final
V OATS
ELECTRIC SERVICE NOTICE OFFICE
COPY
_ BUILDING INSPECTOR'SOFFICE
CITY OF CUPERTINO IV t
19 1,......
To ................. I96/...
jYou are hereby aut ed to connect the ELECTRIC service for
v ,r
Owner or Tenant ..��..�.ed./yf�'�.' /y�J..n�w!• _ . 'Y(�lJ,
. ........
At...../�-41......... �
`/1...:...................
No. of Wires ---!;;`................. Size of Wires ?0L. - ------ Size of Switch ,1 � •
MotorLoad ........... ............... Voltage ................................ Phase....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light ..............110 .. ......New Service .......Reconnect
No. of Meters .. .............
Heat ..............220 .e ......Three Wire ..................Move Service ..........
No. of Add. Meters .....-....
Power .............. Three P e..................Move Meter ............
................ . ........
104 1/60-500 ELECTRICAL INSPECTOR