614 (2) NO. w QS"1� ET
PLICA, ELECTRICAL PERMIT _
APR 7 IgVI; CUPERTINO
Date 6i /OF DIrCTCl'itWidS 0,/ . Permit No. 2
r`
Fee $
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 Premises
a Ownef:. L•a`G: P /'fC lNn�- Address
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NEW RPL FEES
Size Service Conduit-----------------------Number of Outlets---------;------.. ....------ ---------- -------
Size Service Wires....�..-r---------- .....Number of Switches................ ...._---- ---------- .
Size Service Switch---l6 r&mber of Receptacles__....... .......... ....._... ..............
Size Sub Feed Conduit------------------Number of Fixtures.................. .......... .......... ..............
Size Sub Feed Wires...................Ranges------/------- KW------J.. .......... .......... ..............
Number of Circuits......... ....... Oven .............. KW... ..... .......... ......:... ..............
Number of Meters........................Signs.......... Transformers..:_a.'-_:'.. :-.''.4'.:% ............:.
Misc---------------------------------------------Dryers.------------------------ :iir._�'r.'. .. .......... ..............
Motors-------------------- HP.................... Phase-------------------- Permit Fee $1.00
Motors..............._... HP------------------ Phase---------------
Motors HP-------------------- Phase -------- H-P Charge_.............. ..............
"; ;;. ;'." ? TOTAL FEES I.
"'RECORD•-OF'1NSPECTION APPROVALS
,• .•(::,
Rough W. iriO DATE~t ...................., Fixtures - -----------------------
I
....... -
.Y. ; GATE INSPECTOR
INPEC
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^ s Finish Wiring ........... :.: .. otors .... :...
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`+' R• i DAre�,�' •'� InarraTDR ' ..' D E ixsrccTOR Fc�,.,.
Ez. J T> -.rYy,}a'`�.' .dr.. •Y.`m°'¢'' Final4v
'f �^• INSPECTOR
ELECTRIC SERVICE.'NOTIPE _ _°COP),
BUILDING INSPECTOR'S OdPI J
CITY or OP CUPERTINO' {{
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4 ...-.........._._�--- .._.._._......-`---.....
To 152---
Cf
You
are hereby,authorized, to
connect the, lectrtrs€E ice for '115
....
Owner orTenant �• ! :=✓•�r/�nr �,�j. /At
i /G�Z�6L
No. of Vires u........._....... Size of ices".`..':.!2.
,Size of Switch �...r:. -----/:', ;
Motor Load ............................ Voltage ------------------------- 'Phase--. ................................
Heating,Load ------- ----------- K. W. ........1 ................ Voltage .
yiL
-•. �.. ...._ t . �I•
1----.-----New Service._......... Reconnect............_...Nu. of Meters.. J.... :. Lga .Heh _ ...... 220. W ..-----------------
Move Service.......
V Na of Add. Meters............ � - •: � .' .
Power............... it hase......... .... Move Meter............
it
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y,. .. ..............._................ ......._ yy.
104 2/'i9-250 ELECTRICAC]NSPECTOR't