1601 (2) NO. STREET LOT NO.
APPLICATION FOR-=EL€rCTRICAL PERMIT
66CITY OF CUPERTINO
t�AU ` 0. , lst Permit No.
Fee �d(o
nn'' pl' ;a�on,�s ����yyr&�Yj madennto,, the City of Cupertino for a permit to install electrical .
l�4 i g NI'O' �ij#CrFQRTjIJ ff,'D 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.
,Use of Prcmicr<
u I
v
.;E 7 Owner / Address
v
By Address
606 KINCS RO(V � • APProved 1' � :L..f..t_l�
,'� t' _Phone: ..SAN 1Osb, T;1ELECTll[UL JNSPECM-
_ -.CY,5-3440 J
NE RPL FEES
- _//
Size Service Conduit..:��// ............Number of Outlets................... .�../ ---------- . ..ESO....
Size Service Wires..: ��............Nurrber of,Switches................ .- ..-. ..........I_3'._:0
Size Service Switch........................Number of Receptacles------------ .0Z--- ---------- A
Size Sub Feed Conduit_1--------------Number ofFixtures------------------ .�-- ---------- ------------
Size
.Size Sub Feed Wires !��/ Range's......??/..... KW....--------- ------- ---------- ._..........
Number of Circuits........... Oven ..... ........ KW....:......... .......... ---------- --`- 00
Number of Meters..................:... Signs'- i g . Transformers-------- ._....... --------- -----------`-�
Misc.--- ..:. .............—'---.Dryers..:--• -- --
....----- -=- ."....... .� .
J ,,
Motors,, ----FL�c1%HP-------------------- Phase------------------
'Y. Permit.Fee'$1.00"`.,
Motors.. '
�,r� - - HP Phase----------
Motors.` ��'HP---------....---- Phase--------..----: H.P. Charge---------------- �.OD .
'----'--- I 1.
TOTAL'FEES
R SPECTION APP$O}4.LS
Rough Wiring -- -----p
Pix turesey�-r_.... .�-4-�..• -- --...INSPECTORO L r N9 EET R
;. Finish Wiring ....--------'--I---- Motors 't r(_�~-7-'-�---- -•--L�Asn---5'.I'
DATE INSPECTOR LTE ))INSPECTOR •"
r, Final -I'��i /L-C.V�v" F
•DATE INSPECTOR �:}:• 1'..
1:�.'
Yt OFFICE COPY
ELECTRIC SERVICE NOTICE "
61 _
BUILDING INSPECTOR'S OFFICE
CITY'017 CUPERTINO96.
-
To '
You are here au ori to co ne elect,iC I service for
Owner or,Tenant ...-.------ . .-.'-.--. -----
At
+ -.
At ------
(3%aU_l---
" . [
Motor-Load S._...-.�-......... Volta e Wires ` ' Size"
se Switch V,. s.yr4y
Voltage,,,,- — Phase .,
Heating Load ...................... K. W: .-�----....--....-...... Voltage .--------- ------------ .
(Light--------------- 0...----.---- New Service:------------ . Reconnect...............-
No. of Meters.............. ,
Heat........ 0...-....--- Thiee r -,t. M .
No.of Add. Meters..:....... _. . ove Service.
Power-..-.......... rr+;�, Three hose... .k .._- Move Meter---..,..._...
/ • - `+U.t
•704 1/63-500 `f�C ELECTAICAL INSPECT'