1801 (2) 1 c V3�
NO. STREET LOT NO.
O ELECTRICAL PERMIT-4 cm
CITY O L7PERTINO
7FfD' EC 6 1962.
Date t'- `/. / , iAz� Permit No. I
CITY Or CUPERTINO pee y ��
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 Premisrs .4—A.
zjv
u
a Owner cv ^ / ✓��dJ tiL_ Address
i
By ii4. Address
CONTRACTOR, AGENT
Approved kc-14 4AU.
Phone: AQ- .2 LECTRI& NSY2
NEW RPL FEES
2 ••
Size Service Conduit----------------------Number of Outlets----.-- --- ----- _2.J-- -"":= '� ` O
Size Service Wires.....:.....:-------------.-.Number of �Switchese_---------------- z/. ----...L.----- -...
Size Service Switch------------------------Number of Receptacles------------ -.moi./
Size Sub Feed Conduit-...-_-_-..:....Number of Fixtures------------------ . "Y:. ---------- ._ -----D-
Size Sub Feed Wires----------------Rang es__._...._/
........ KW..:----------- ---------- -------- -
Number of Circuits....-- Oven KW ----------
----N - --------- -
Number
umber of Meters...........---------.-Signs---------- Transformers-------- ----...--- ---------- --------------
Misc--------------------------------------------Dryers----1..------`--------------------+---------- ---------- --------25.
Motors._-- _--._. HP-------.--.......... Phase------------------ Permit Fee $1.00
.Motors_------------------HP------------------ Phase------------------ �—
Motors-_---------------- HP---------------- Phase------------------1. Charge----:----------- --/ 2-6
TOTAL FEES `
Q SPECTION APP i$
Rnugh Wiring -LI-- ---- Fixtures - I. - - ---
-- ----------" --- ---------- - -
OAT[ INSPECTOR ? [�� P
Finish Wiring.---- I-----------..._--�: Motors —'�----o----,'�-'---I- --- -- --------
.RTL: 'INSPECTORTE� SPECTOR
Final....... ...
. ➢ATL INSPECTOR
OFFICE .
COPT'
may`' GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.._..�. 96.3.:
To
You are hereby au �ed tocapnecE the sere'
Owner or Tenant .. - .. .^
At .../_ ./..
.-------.....
/ New- Service 46�.-
No. of Meters ._f..... --- - Reconnect -
- - Move Service
I No. of Add. Meters.......:...... Move'Meter
_ - --- .. ...--------- ------..._........
PLUMBING INSPECTOR
310 7/61-.500