2038 (2) NO. 5TREET LOT NO.
=APPL `O, 'FOR ELECTRICAL PERMIT
CIT1S OE CUPERTINO
t � /
MAY 22 12-31,
963 1 �.: Q�
Date (� �/ /� p .f_— 195— Permit No.
1.�� 1 I Or CUPERT"E �" Fee $ o�
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, a I of er/ laN applic,ble thereto.
a, Use of Premi WY t
c
a Owner Yelig 0�l �� y Address
ft Address
CONTRACTOR, AGENT
Approved
one: EC¢ L INSP¢C.70R
" NEW NFL' FEE&
Size Service Conduit......................Number of Outlets.................. ---------- .. -------
L...__.-----
Size Service Wires..........................Number of Switches---------------- ---------- --------- --------.---
Size Service Switch........................Number of Receptacles------------ ---------- ---------- --------------
Size Sub Feed Conduit..................Number of Fixtores.................. .......... .......... ..............
Size Sub Feed Wires------------------.Ranges................ KW-----�------- _.......- ---------- ------------
NumberofCircuits.... ............ Oven .............. KW......---- .... .. --
Number of Meters------ ..............Sig TranT6L
rs --------- ......... ..............
Misc............................................... Dryers.. . �1. . er.S
Motors------------------- HP.................... Phase..._..............
Motors.........._........ HP-------------------- Phase-------------------- Permit Fee $1.00
Motors-------------------- HP------------------- Phase------------------ H P Charge.... . ..... ...... . 0
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring................ ............................ Fixtures --------------------- ------------------------
OAT[ INSPECTOR OATE INSPECTOR
Finish Wiring ................�.....-----...._--.....
?Motors
........ .........OAT6 INSP[CTOR
Final ..----. .......-...... � ------
DATE INSPECTOR
ELECTRIC SERVICE NTICE OFFICE
COPY
BUILDING INSPECTOR'S CF I 0 ICE
P
CITY OF
To
You are hereby aut eyzed to connect the ELECTRIC ser cc fo
Owner or Tenant .. ........
At
. ....... ....... ........ ------
No. of Wires ....%!9_......... Size of Wires . .. ... Size of Switch 4
Motor Load -------------------------- Voltage - -------- -------- ------------ Phase--------- ....... ..
Heating Load ----\... ------- K. W- ---- ------ ------------------- Voltage -----........ .................
Light .._..........110 ....New Service -------—-----Reconnect ----------------
,
No. of Meters -----/........- He
at720 .......Three Wire..._.._........_Move Service ----------
No. of Add. Meters ---------- Power .. meter ..---------
LEiRICA ......... ........
INSPECTOR
1o4 7/61-5oo