1501 (2) NO. STREET LOT NO. X�
P ELECTRICAL PERMIT
CIT CUPERTINO
Jut 1202 _
Date , 191' � Permit No.
11T OFCgRjlp hee s/0"ALAps hereby ma e to t e rty of Cupertino for a permit to install 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
City of Cupertino, and all other laws applicable thereto.
Use gf i
v
ner / Address
:? -e Address 2 4
CONTRACTOR, AGENT
Approved
ICAL INSPBGIW
fl NEW RPL FEES
Size Service Conduit...? ........Number of Outlets.................. ....21.. ...........I.
Size Service Wires'— I'..7-----------Number"'0'f Switches-:-'
Size Service Switch------1.e-0--------Numbe Ir of Receptacles......_....------------ -�V-- ----
p ------ - .........
Size Sub Feed Conduit..................Number of Fixtures...__......_--- - ... .. .......... .
Size Sub,Feed Wires....................Ranges------------- KW...----------- -------- ---------- ----
Number of Circuits................... Oven _1........ KW--- -- ...... .......... .......... ..../s—
Number of Meters..........................Signs---------- Transformers.-.-.--I---------- I---------- ------------ --
Misc.-....................-------------.._....Dryers-----I--------------------- ;.7z....
-------- -- - ------ --
Motors------------------- HP-------------------- Phase.................... Permit Fee $1.00
-q-
Motors.................... HP/ ..... Phase....................
Motors------ ---------- HP --
Phase--- --------------- H P Charge................ ...
TOTALFEES 3 G s
INSPECTION APPROVALS
Rough WiringzgV-0� ..CIJMT........... Fixtures --------------------- I-------------------- -----
X INSPECTOR Motor DATE INSPECTOR
.. .............. ..... ........... --------- --
Finish Wiring ............ .. MSPEC --T
DATE
Final ......................... ............................
EATS INSPECTOR
ELECTRIC.- SERVICEi-NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
-.CITY OF CUPE,RTIN _ .
................ ................_ .... 1961...
To W
You are hereby 4horized to connect the ELE I2 service for/C
Owner or Tenant ....-........._a..'- ............ r--... ...-
C
No. of Wires ..........Z... .. Size of Wires ........Z-._---- Size of Switch �:�� •�
Motor Load .........:........ Voltage .._---------------------------- Phase `V\
Heating Load -- K. W. ......... .......... ....... .... Voltage
1 Light ......�110 _.............2Qew Service ----...........Reconnect
No. of Meters ....................`Heat ......✓:.220 .._.._.._...(three W' e...___..........Move Service .._------
No. of Add Meters ----------(Power .
.............. Three
_...__..- Three Ph 'e ........,.n❑f ,..Move
Meter ........._..
ELECTRICAL WSPET
104 7/61-500 • _ �:� , .