1754 (2) �-
STREET(/ LOT NO.
Jim=
P ELECTRICAL. PERMIT
�PERTINO
7 1962 -7Date/ Permit No.
T�/ p�p �In'� 4 0
Application i r ma(�J Ip i Cupertino fora 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.
a
Use of Premises / r
L C
Ownqer ✓ — Address / y'
By �fT
l ` JI Address
( I CONTRACTOR, AGEVT7`l Approved
Phone: !`' Uv ELECTRI L INSPECTO2
NEW RPL FEES
Size Service Conduit-1...............Numbe� of Out-lets—l-r-- ---------- ---------- -;Z 3-0
.............
Size Service Wires..-,,l.---0....I------Number of Switches...2 ..... .......... ..........
Size Service Switch.,2k.4...-.....Number of Receptacle,,3.3.
1) .. ........ .......... ...33.4
Size Sub Feed Conduitj...............Number of Fixtures.....2 3
........ ......... ---------- -------------
Size Sub Feed Wires-3. ....Ranges........../........ KW-..--. - - - — — . 7.;-
- - --- ------ ----7.---------
Number of Circuits.... ---- Oven .../......... KW-------------- ---------- --- ------ ------
Number of Meters....../................Sin�... Transformers........ ..(Wl:�c—------- ---
Misc../
0 6-wu rye ------------------------------------ --------- --------- - .
!�/4.4�.A$...Dryers /
Motors..... ........ HP-------------------- Phase-------------------- Permit Fee $1.00
Motors.................... HP-------------------- Phase.....-----........
Motors.................... HP-------------------- Phase------------- ------ H P Charge................1...)-----217
-----
TOTAL-FEES
P)ZCU%WSPECTION APPROVALS
DeERM
Rough Wiring --- - -- ..... Fixtures ......................I---------------.........
C R...fM DATE
Finish Wiring !. Motors - ------
SPECTOR
/EAT INSPECTOR nal A.T..�
...............
Final
It INSPECTOR
TEMPORARY ELEC41CAL SERVICE
i ops
DATE: .....
Per.
OWNER: ..........
T
.............. .......
L
JANEIt'-Ro",A' ------ ............ ........................ .............................
REASON: ---- ......
. . . . ....... ............. ...........1 N Q 0
........ .........
Theju
pdersigned,ag,Pe6'tWrbe,re'ponsible for the electrical service at the above location,
until the building is ready for occupancy, and is releas by the Building Department,
City of Cupertino Phone u:n 9
. ........
TEN('Inp R OWNER
zz-4 a
—-------------- ......... ...... . 2/ .......
INSPECT
116 11 500