1203 (2) /,7,7,5-z:) T )JELL.
NO. RT LOT NO.
PCATI ELECTRICAL PERMIT
OT 2 s 196tib CUPERTINO
Date -GO OF V iPMINCP§` Permit No.
V - - Fee 5 j Q 6
Application is hereby made to the City,ofr Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
MW4199 and/or fixtures in accordance with the provisions of the Electrical Code oftthe
M .:%Cityof Cupertino, and all other laws applicable thereto. F••
u°'r'Use of Prem,
i<rc /f'-�
�9 O.�r, / 1," 0 30 /, ,A, Q/�
4 a •Owner � _ti> Address �E' j A C
d� .B
y . Addiess
�.'du-=t TAACTORAGENT 'moi i`n:'
•;ro` APP�ove
Q_ � � � 7 � �� / _• ELECTRICAL INSPECTOR
NEW RPL FEES
Za
Size Service Conduit--_1--.- ............Number of Outlets------------------ -
.. ..........
Size SeTvice Wires---- --------Number of Switches-_------------- --/Y ............
Size Service Switch....'.<!.'J�----------Number of Receptacles.---....-.... ..... ptacles............ v�� ---i...... . ........
. 7_10
Size Sub Feed Conduit----_- _--Number of-Fixtures.................. ...i-L........... ...
Size Sub Feed Wires--------..........Ranges--------------- KW------------- --------/
-- ---------- ------ ------
'7
Number of Circuits---------L------ Oven -------------- KW------ ------- ------- - ---------- ---- ....
Number of Meteii---------------I.--------Signs---------- Transformers....::- ... -
Misc-Misc.------------------------ -----------------
--------:-------------------------------------Dryers-------------------------------- n.�--- --------
Motors---------- Phase..- ..........
-Motors -------------- HP..�----------------- Phase-------------------- Perm it Fee $1.00
Mot;r;--------------------- HP---------------- --- Phase ---- ---- H P Charge---------
_TOTAL.FEESf-r
INSPECTION, _APPROVALSP
Fix7titres --------------
R6-ugh Wiring/ ....... .. ........
.�T N R OATF
j Finish Wiring .... ........... ........................ Motors ------ ------ I--------
DATE INSPECTOR. I PCCTOfl
Final
DATE T
i coi;YE
ELECTRIC SERVICE NOTICE �
D4 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINOL+
/. ..:
..You are hereby.
at- d"t { nnect the ELECTRIC service for
. - -
OiJnetror Tenant?r
At----/
�
l l7�x.11 - - ------------------------ . . .
No. of,Wires .. ...........:...., Size of Wires ---- - ......._. Size of Switch/Q L :.: , -
.,
Motor Load-....------:................ Voltage ------------------------------- Phase .................---...... --��'-
Heating Load:-.-._'...,................ K. W.,........................------:.. Voltage ----------_----------------'.
Light .... t 10 �. New Service..................Reconnect in
No. of Meters .... . .......
Heat220 ....Three-Wire ..... . Move Service
No of Add. Meters .......... "'
111 Power .. Three Phase ...Mose Meter .
4 a
--------------
1aa 1160-500. ;., . fit~ ELECT'R'ICAL INSPECTOR;" e. °