1573 (2) NO. STREET LOT NO.
Me FOR ELECTRICAL PERMIT
�
9i ""' OF CUPERTINO
l AG 8 962 2
Date , 19/-/ Z Permit No. /57.7J
(r� � ((�� (� F TING io
YY��Itia-r Hd2�tn�8 t6` e. City of Cupertino for a permit to stall 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
"m City of Cupertino, andel all —other,laws applicable thereto.
V Use of Premieec
Owner Address -4
m By Ai..�-P.•,�•.-• S�te•�Yn tom', fffi11SPZCF0jt
ddress �'CONTRACTOR, AGENTpprov
Phone: ""/ 7. �•G.� E CTMR
NEW RPL FEES
26
SizeService_Conduit_...4..-------Number of Outlets........__...... _..Z-- ---------- ....--..."...
Size Service Wires*.:;? 4'4......Number of Switches....:........:.. 2. .'
s` Size Service Switch... ------Number of Receptacles------------ —--- ---------- -------'...
Size Sub Feed Conduit------------------Number of Fixtures.................. .. ---------- -----
Size Sub'Feed Wires....-----.----....Ranges.....-.... .-- KW.............. ......�.. ....------ -...7:......
Number of Circuits................... Oven KW------------ ---/---- ----- ----
Number of Meters........................Signs---------- ,Transformers-------- --------- ---------- -----------:-
.---- ----�.. ........_ ..7.........
Motors: --- HP-------:�.......... Phase------------------
Motors---y--------------- HP---i................ Phase------------------- Permit Fee $1.o0
Motors..........---------- HP......--------- Phase.---------- ........ HP Charge
----------------
I-----yS-:
TOTAL FEES
p O NSPECTION APPROVALS
Rough Wiring..✓.. ....--- tFmal
Fixture .----------'--- .. ...........
--- ----- - --
DATE -INSPELTO R- OA INSPECTOR
Finish Wiring ..---A-- otors oATe' INseecTOR b-.............., - ...-----....
.. DATE INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
rpp�,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
10/- ------------ .......
1��...
To
You are hereby au d to nne�e.E ECTRIC service for -
o
Owner or Tenant .. ..._ .. . ......_ '
cam"'. :-..: � :_. ...._... - --. ..., -- ................�.....
At
No. of Wires .... Size of Wire ....:................. Size of Switch .
Motor Load --------- -- ----------- Voltage --------------------- .......... Phase .......... .......
HeatingLoad .......... ........... K. W. ....----...-------....._...... Voltage ._.............._...._-----
ew
Light ..............110 ._. i_Nvee Wiree.......�`.Move ID eters`.'-------
No. of Meters ......._...._....
- Heat ..............220 ........._ TI
No. of Add. Meters .._...... Power
ELECTRICAL
INSPECTOR
-sno
104 7/61