1514 (2)NO. STREET s, �.>.1_ LOT NO.
® R ELECTRICAL PERMIT
'��,1 JUL 2 6 1962 cl F CUPERTINO
Date I- 1 'Y Permit No. J,
CITY OF CUPER I 0 Fee S Z� (" loo
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 installsaid
wiring and/or fixtures in accordance with the, provisions of the Electrical Code of the
City of Cupertino, and ak other laws applicable thereto.
CO ,I SPECTION,. APPROVALS,
ng
Rough Viri Fixtures'- -w -----------
pA N SPEC .. IPIEPECTOR .
't
Finish Wiri"' -... to
Wrong . .... ------- ---------------- : ......... I .. ...
PATE INSPECTOR,,
Fin-- ----- -------
n - - -------
DA A�INSPE�TOR
RPL
FEES
Size Service Conduit._.7� ------------
Number'6:f, Outlets-------.-_-----
----------
--
Size Service Wires ---- -- /' ............
Number of Switches---,._._..._..
-- ----------
-
Size Service Switch _---------------------
Number of Receptacles---------.--
----- 5 ...... .......
Size Sub Feed Conduit -... -.-----.Number
of
.. --- ----------
----
�:
//Fixtures------------------
Size Sub Feed Wires--- eq,..Ranges
..... ----- KW--_ ..........
.......... ..........
..... ..........
Number of Circuits_ ...
Oven --- ----- KW-----------
----------- ----------
----- 7,0-e
----------
Number of Meters ----- ----------
_Signs ----------- Transformers --------
----- -- -- - ------
---------------
Misc.....7..:..................................D
ryers .......... .... ------- ------
--- --------
��,Motors 'd. eAwl ---- HP ....... j .
..... Phase --------------------
Zj............
yMotors ...... ----- HP --- ---------
j ----- t_Phase --------------------
Permit Fee .$.r.00
V Motors .....YHP:..-........:--.'
me: --------- j_ HP Charge-. --.---...-.,3:-00
I
.Ph
A TOTAL FEES'
CO ,I SPECTION,. APPROVALS,
ng
Rough Viri Fixtures'- -w -----------
pA N SPEC .. IPIEPECTOR .
't
Finish Wiri"' -... to
Wrong . .... ------- ---------------- : ......... I .. ...
PATE INSPECTOR,,
Fin-- ----- -------
n - - -------
DA A�INSPE�TOR
I
ELECTRIC SCRWCE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are he y aut o ' d to connect the E ' IC service for
Owner. or Tena ._..
•r
Size of Wires" ze of Swttch �C1 .�
Motor Load ._.. .- Voltage 's r
_ F .. " Phase ..
!�_; ,
Heating Load .:_i :. :........... Kr W., " -%'-_•'_•__t_ Volta e . ____ ____
_..
Lig 70 Neu•Service- ..-.Reconnect~, hr+
..
No of Mete s'�:'.• �: .. Heat •T 22 --- rhr 're __.Move Service �f' •'p
No of Add�lleter: • -
Power •�v� Thre P se
r
•r -.__-..',: � ..-__Dfove Meter .
•
..........
V
+ iv 4m
1. -�
�.aa ELECTRICAL, NSPE OR
104 7/61 500 - d t'S';.k.� �!'. g • .YZ 4.