116 (2) NO. ''Al >; �ISTREET LOT NO.
2 .Z 5 4 l CATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Date Permit No.
JJJ/ Fee $ 'rte
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.
\ Use of Premi
a Owner - %' 7����i� ��' !Address 0. d4( .< <
;_
y
By ,r I'' !/ iiia r' Address — /"Yee- k-1,4-14;W
CONTRACTOR, AGENT
Approved
Phone: - ELECTRICAL INSPECIOI
NET RP_LjIM- F'c Cli
Size Service Conduit..---//F......Number of Outlets.................. .... ..r....
Size Service Wires.,-Y.'�!`—.......Number of Switches............_ ...... �' ..
-- ---..L........
Size Service Switch.../.. 1�...........Number of Receptac{s........ -------------
Size Sub Feed Conduit------------------Number of Fixtures.................. ......... .......... .. g. ..
Size Sub Feed Wires....................Ranges--------/----- KW.---......---- ---------- --------- ../>G.�.
Number of Circuits------------------ Oven ----/......... KW------
Number of Meters...j..................Signs.......... Transformers........ .......... .......... ..............
Misc................. ..- - -- Dryers-------------_--------------------- --........ ..--- -- -----;r•i}
Motors...... ,....... HP n.....:`f_-- Phase........_.......... Permit Fee $1 00
Motors.............. ..... HP.................... Phase........-----------
Motors.................... HP-------------------- Phase----------------- H P Charge....----------L.....0..A
TOTAL FEES
�[ INSPECTION APPRVAL
Rough Wiring.L /... .. Fixtures . �. . .... - --_--
/D CTO / TE QAITR
Finish Wiring /1 ./ 7..... .... .....1DATE R
ELECTRIC SERVICE NOTICE#`: --eTFIvr
BUILDING INSPECT�'S OFFICE
CITY OF CUPERTINQ
l�..:.....................
.
To /
You are hereby authorized to connect h l_ect�rtmice for
Owner or Tenant ...L/%.'r �i.SC/..... Z'..................
At ..... ... ........ ...........................
No. of Wires .....+A............. Size of Wires ..&F?r�----------- Size of Switch ..111:9..d-hWlp
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light ..............110 __ _._.New Service ....r......Attonnect ............
No. of Meters .._.. ..........�
Heat ................220 ...`�.......Threc Wire ..................Move Service ..........
No. of Add. Meters ..........
Power .............. Three Phase..................Move Meter............
............ .....................................................
to6 /s51z,o ELECTRICAL INSPECTOR