1128 (2) NO. 2rTA ET LOT NO.
p R1 OR ELECTRICAL PERMIT
�SEP 6 901 OF CUPERTINO '
Date19An /'' Permit No.
CITY OF UPERTINO Pee y
(y Application is hereby made to the City of Cupertino for a permit to install electrical
0 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
'y City of Cupertino, and all other laws applicable thereto.
Usc of Premie
.
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�/ ,�JJ CONTRACTOR, AGENT .Approve
t one: d x I'L O G 7 ELECTRICAL INS
New RPL FEES
Size Service Conduit----------------------Number 'of Outl'ets------------------ -- z---------- ......2 a
Size`Krvice�Wires..........................Number of Switches----------------- .�.y.. ....+?... ._r ..`7.�
.y zy..
Size Service Switch........................Number of Receptacles............ ---3-3 ......... __.:�.'-a3sj
Size Sub Feed Conduit..................Number of Fixtures.................. ...2:.
.... .........: ........
Size Sub Feed Wires....................Ranges------ --------- KW------... --------- ---------- ---------
Number of Circuits-------..... Oven .... ......... KW.......----- .......... --------- ---..:7s
Number of Meters------------------------Signs---------- Transformers-------- --------- --------- ---------------
Misc-------------------------1----------------------D ers. -------------------- —
------.... ..---- -- ------ --
Motors.........:: ...:.... HP:----------------- .Phase.................... Permit Fee $1.00
—Motors............... _HP-----............... Phase ---- H P Charg�
:d" i '��- - -,..,.. - _.TOTAL FEES `� ..
SPECTION APP _
Rough Wiring7f/Q .�... Fixtures /�_ ' . '
ffE X -TOR / V R
Finish Wiring . . ./P /. --' ---CT OR. -- Motors ......
... ...
xs
DA a � re-TDR .:. .1 . .. ......XX .
Final C
-.
................. .I.
�/_L .
DATR SPECTOR
ELECTRIC SERVICE ' NOTICE' ou10E
COPY'
'BUILDING INSPECTORS OFFICE
.;
Cl OF CUPERTINO . . .
I . d L ,
1
To
- You are hereby autFiized to connect the ELECTRIC`serv¢e f�a' _
�/
;.Owner or Tenant L..- ''7'f' ..�..0
At
,No of Wires ..`4�S z of Wires Size 6of,Swttch �
� D�
Motor Load{- "" w,Uoltage�A Phase:Sl-
... ..
�Ieatin oadr—,—` -- e.. K.;W µ a y :. ..'Voltage..-. .
....
-'`•r'�'° i _"`'� i• v Light -.. 110 ~ New Seivice~i` R econnect`
/ ......
0 of Meters: yr "'Heat - 220
-- ... ..----Three Wire - .Move Service
-No of Add. Meters .... - -
� �. Power ... Three Phase a Meter
ELECTRICAL INSPECTOR
104 .1/60--oo f
.err'r.+r