1316 (4) NO. 1ST ECT SLOT NO.
ION FOR -ELECTRICAL, PERMIT
CITY OF CUPERTINO t -
D _. q
` MAR 2 ` -�
Date 19p._- Permit No. '
ITY A�cXJJ!?sl Rc$�jIttQ to the`'City of Cupertino for a permit to'insta?relectncaT
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
City of Cupertino, an,d�all o her-laws applicable thereto_
v„ Use of Ptemisec eo ii o_er-tel ��•.'° •,
a Owner Address -/,
�) Bye -Ad dress { .
6/ - CONTRACTOR, AGENT • ' ApprOVed •
j / Phone: - G 0 Z E CICAL rrrsrecrm r„
1 � aia
NEW RFL FEES
A, -,, 1 -,,2-1 1
Size Service Cohduit.-/�-"/`.............Number of Outlets.........._------ --- ----- --- -----
Size Service Wires.........................Number of Switches................ ._ .3. . -- --- ----
Size Service Switch... ......Number of Receptacles............ ..3.6 ...... --- ------13.,?--c)
Size Sub Feed Conduit..................Number of Fixtures------------------ -----2---t
Size Sub Feed Wires...................Ranges................... ......... KW-------------- --------- -------- ---- -7
Number of Circuits................... Oven ---/----.---- KW----
aMi
. .......... .i------
Number of Meters........................Signs---------- Transformers.. ..... .-------- ---------- -- ----------
Misc................................................Dryers-----/------------------------------
- ----- -- ------
Motors...z1--------------- HP.................... Phase.....
Motors. .............. HP. --
........ Phase----- e��if Fees`,
$I.00'.
-------------
Motors-------------------- HP.................... Phase.................... H P Charge............ .
TOTAL FEES
INSPECTION APPROVALS
Rough Wiring ay,�//aX-1.�1230 .......... Fixtures -------------------
... .......... -----------
------
DATE INSPECTOR It INS
otors ....... . .... ............
Finish Wiring
................ .......................... V.... ......... ..........
DATE 1.11C
CTOR �2ff OR
nal
OAT[
ELECTRIC SERVICE NOTICE oFFiC'E
L '
C,(wv BUILDING INSPECTOR'S OFFICE
CITY OF. CUPERTINO 1
y/�------- ... . 1�� . .
To
You are hereby aut ed to connect the ELECTRIC se ce ,
.Owner or Tenant
.....................
-gAAt .. 99.1= � _..
No of Wires
..: Sae
%-0,57 .�..,. .. Size of Wires .'.-�-� vttch�Y�/Q•...
Motor Load --------- -- ..... Voltage ...................
....... Phase `
Heating Load '
............ K. W. --.......-.................... ... Volta e ................
-__-- 110 .✓.....New Service �- Reconnect {�.i
of Meters':/. -----Heat'...--_--.....2211 - ....--.Three Wire........ :-----.Move Senace k:....._.
No. of Add. Meters .......... - - ;;.:,:
e Ph
. .�, . Power .._........ '.:.---_-_`.:...Move Me[er'::._.-.----
r
Y f/ ELECTRICAL 3INSPECTOR
104 7/61-500 gf + ✓,:r �, -.,.