893 (2) teC1& 1 1 TR-
NO. STREET ' LOT NO. � J
111R.
ELECTRICAL PERMIT
IFCUPERTINO
NOV 14 SO /
Date 1 , 19fi¢y Permit No. /
CITY (�F CUPERTINpee
Application is ereby made to the ay 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.
W1 Use of Premises_ _ �7�1,�.'Zxr -e4
c
a Owner L-• — fi E Q :)Z&Ii da Address
By� Address
CONTRACTOR, AGENT
Approve
,E%
r� Phonc: 4L �- — �_ n L ELECTRICAL INSP6C a
ie 7
NEW RPL FEES
Size Service Conduit......................Number of Outlets.................. ..11.. .......... ...0.
Size Service Wires--------------------------Number of Switches------------- ---------- ---------------
Size
._._..-...-Size Service Switch........................Number of Receptacles........-- -:. J- ---------- ----
..1.-(J
Size Sub Feed Conduit..................Number of Fixtures.................. ..'..7.. ---------- ----
Size Sub Feed Wires-------------------Ranges..... ......... KW-------------- ---------- --------- -.....7..5
Number of Circuits..._-'-................... Oven I ---------
•'-- KW-------------- -------- - --------75
Number of Meters........................Signs.......... Transformers-------- ---------- ---------- --------------
Misc------------------------------------------------Dryers...1------------------------------- ---------I...------- ..--------
S
Motors.41--------------- HP-------------------- Phase---------------- Permit Fee $1.00
Motors.................... HP.................... Phase....................
Motors------------------ HP---------------- Phase......... ....-..... HP Charge.. !:.Q.0.
TOTAL FEES-
0
EES O NSPECTION APR VA
Rough Wiring�� �� . la{?--- --- - ---------- Fixtures.-- - --- .— -'..
.
DAT IM TON DATE I
Finish Wirin�y..... ...... .. .... ...... Motors/. .- -..: .. ..... . ....
ATE INSPECT ON �O�] IME
Final . ----�------'-----........:"-
D TE 9PEETOE
ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
/ ................._.../.��../es..�/----....- -- 190p.
TO
You are hereby auth r ed to connect the ELEQTiqC S-Vvice for
1". .. _,elv................
Owner or Tenant ----
At------ ......................
-----------
No. of Wires ... ............. Size of Wires ........42........ Size of Switch
Motor Load ............................ Voltage ................................ Phase....................................
HeatingLoad ........................ K. W- ---------------------------------- Voltage --------------------------------
Light .............110 ................New Service.!!7�........Reconnect ................
No. of Meters ......./...-.......
No. of Add. R Heat ..............220 ................Three Wire ..................Move Service ----------
111 Power .............. Three .........-........Move Meter ............
......... --- .............................
104 1/60-500 /ELECTRICAL INSPECTOR