2073 (2) STREET LOT NO.
APPLICATION VOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Date -"19k' Permjt No.
Fee $ zct (0a
Application is hereby made to the City 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.
v Use of Premi v,,t�Z
v
a Owner Address
By " ! Address 3:2
ONTRACTOR, AGENT
�� $6 j O Approved
yn� Phone '— 3 ELE CA INSPEGTOIt
�C/
' NEW RPL Fres
✓
Size Service Conduit-----.J�.....--..---Number of ats-....:...-.------ - i?... ---- S SS-&
-.-L_._.........
Size Service Wires......./G...........Number of Switches. ...-.-........ S . ....-.-...I ..........
g�
Size Service Switch_s�/.:Sl...-.Number of Receptacles............ . .3 )1�;i0
..... .......... ..............
Size Sub Feed Conduit...- y--------Number of Fixtures-................ S..S.. .......... .S!.S�G
Size Sub Feed Wires.----(0------...Ranges.....- ----- KW-------------- ---------- .......... ... G
Number of Circuits..----/�-.... Oven ------------ KW------------- ---------- ---------- ---- ---------
Number of Meters................Signs.......... Transformers........ ---------- ---------- --
--------------------------Dryers.........!"........................... .......... ..........
---------------------Dryers........./....--...._.............. ...._.... .-----. -S--a-u
Motors------------------- HP.*... Phase----------------- Permit Fee
AGO
Motors.................... HP..-
......----- ---- Phase----------------- 1.
Motors_.................. HP---------------- Phase.................... H P Charge.....-. ........ ---------
....-
TOTALFEES
RECORD OF INSPECTION APPRS3 ALS
Rough Wiring......._------�--------------------------- Fixtures --C_.
DATE INSPECTOR DAT PECT OR
Finish Wiring ....--------..�. ... . .XSPECTOR Motors ---.. . - ..... ..-0.OR -----
Are/ / P e DR
-�---- ............�.. .........................
' ATE INSPECTOR
CERTIFICATE`-O-F . COMA' iiON -
BUILDING INSPECTOR'S ,OFF;l E .'• . '
CITY OF CUp.ERTINO'. +
( � I •^77 �� � Bu y.� ; �i/
Date ...............Locatedf�." ....... ',.�'7 I }`- ild*a� eimit-No:
The Building
y I....
� a '
Owned by ' / ''^
..cs✓—= —. ..
Pod 'clad
Flys Been PI .. r�Use As: .......... .....' .y
.....�...........
............................ ........:........................_i
- .. ..�.. ... .. �/r.......... .............
102 1/63.500
-- B U DING INSvECCO��
OFFICE COPY
ELECTRIC CE NOTICE
BUILDING—INS ECTOR'S OFFICE
CITY OF CUPERTINO
.............
To
You are hereby
� rauthori. to-cIionn'.eect'_eS7Ylectri � se..rvice
/ d �
Owner or enant — . i� . r➢
--.i.-......... ... --` -- --(-------�--
---
.... .... ..
At -- ----..- -------
No. of Wires ....Z............ Size of Wires ........ .. Size of Switch OQ'y.....
MotorLoad . ------------------------ Voltage ................................ Phase ..............--------------------
HeatingLoad ---------------------- K. W- ------------------------------- Voltage -------------------.....------
No. of Metersg ° 110._... Nw Service... ......... Reconnect..__............Liht
Heat_...._. 0......... . 1-h4� 111�
ir . ..-...___. Move Service....-.......
No. of Add. hfeters.........._
Power_............. Thase. . ........ Dfove ter..............
..... ........ ............._..-...r... .............. ....-
CAL INS EC1' R
104 7/63-500
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. :7--7.............
Plumbing Final Plumbing Permit N0=2i-s-c�------------
No. . ... ....'I-------- -
Owner or Tenant .... .. ...... ...
At ........(-.9 ..
..... .... .
. . . .. .. .. . ...............
Tract .._-------------------------------_.. ....
Date Connected ----------- ---------------------------
Date Final ...................
PLUMBING INSPECTOR
III 7/63-IM
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S;OFFICE
CITY OF CUPERTINO `
.......................... �0
yJ.. .::.., 19 ....
To
You are hereby t ri to c nect the G�S t
/L e-r A
Owner or e alt . .... I....... _... ............... . .... ........
1 � ��0
At .................... .._....
)--
New Service ..._�
No. of Meters .._1......_...... Reconnect .............................. '
( Move Se ice ........................
No. of Add. Meters .............. o e e er ..........................
i
............... . .�...:..-- ---- -- ,---
PLUMBING ECTO
110 6/63-500 '