701 (2) �A ,x-�•?'. NO! 'T"nx STREET T"- G
c• Vy sOT NO. �/L
ti APPLICATIONOFOR ELECTRICAL PERMIT"/
Cl p0$CUPERTINO
--
19b�L Permit No.
Date /UN 21, 1960Fee $ ,
Application is hereby made to the City of Cupertino for a permit to install electrical
wiCI .and/ fix ures as listed,on the reverse side hereof, and agrees to install said
wiu'r1 ��nd fi t, pEfiTiN ce with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premier< � >
'a Owner ' LG address 2 O alter iYN�=
By �'! Address
CONTRACTOR, AGENT p
Phone:�' /J,�✓�� Approved � 2oilt/wK�.d✓�
�J ELECTRICAL INSPPQ�'VO.�tt�Q�_
NEW FEES,
Size Service Concluit-f�v----------Number of Outlets--------------------- - - - ---------- --
..........Number of SwitZHes----------- . ..........
Size Service 1-.e-1.4't
1.
Size Sub Feed ---.duie�........... �A-
F iw� I I 'ITV
e Number of, Rece cles----'.'.
ei�f;lp*wf—pi r ---- ...... �......... ... ........
Size Sub Feed ...Raiig&—� -/*....... .KW..*7--------- ---------- ---0------- ---
Number of Circuits..,.................. Oven,' L(.t' ...
r.
Number of Meters.... -1--------------Signs.......... Transf6rr�crs... .......... ---------- ---------------
Misc------------------------------------------------Dryers........1�------ -------*---------- ---------- -------
Motors-------------------- HP.................... Phase..................... Permit Fee $1.00
Motors----------- HP......,./. ----- Phase....................
........ HP.— ----- Phase.../.......... H P Charge--------------L/10
Motors-------Ix-- 10
TOTAL FEES—————-✓Yle.—,mL�
g� CORD WkECTION APPR
74% -----------
0
DATE /
pe
Rough Wirin Fixtures
R
INSPECTO 7
Finish Wiring . .... ..........
... Motors
---- -- . .........
INSPECTORINSPECTOR
Final ....... .......
;W
DATE ✓ INSPECTOR
ELECTRIC SERVICENOTICE
:BUILDING INSPECT R S OCFICF
CITY OF M-PERTINO Y♦tt�t .;�� -�
,• ";To 3
You are hereby autho tie' o�nnect the TRIC"service for
i; _
Od ner or',Tenant C � 31
..,..../�
At
r •, No.,of Wires . - ° �„,,
Size of Wires ..:...r, . ' .. Sae of_, Swuch'...rr!�!�
Motor4 Load .. _. - '
Voltage --.......:........—'--..... Phase.......
Heating Load ........,:..r:....:..::...K.�W.°:.:..........:I....._........: Voltage .---...:.':.>...:,...: .
Light `..�t 10 ` .....New Service (/ ...Reconnect ... L .
No. of Meters .. 1' `
No. of Add. Meters ..(Heat ..220 G" ......Three Wire --;.Move Service
_ _.)Power .. ree Phase._.....:.:....:.Move Meter ............
oa t/6o.sooELECTRICAL INSPECTOR '