960 (2) NO. �>sTRP.'• �i ' LOT NO. •
APPLICATI N FOR 6ECTRICAL PERMIT
CITY OFCUPERTINO
Date ; 194// ''
. .Permit No. 96o
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 �/�'�'����✓
c
Ownery--= )5:� t 0- N Address a ( to i L V F? F U �a
By Address "S !
Lo CONTRACTOR, AGENT
s .Approved ��etSf�'.=2C.c�. .•_''�'.;{', '.
Phony. t'•u ` • C� ELECTRICAL INSPECTM -
u
NEW 'RPL FEES
Size Service Conduit Number of Outlets .
'> Size Service Wires.. .------............Number of Switches --
' -- �
..
Size Service Switchcles----------- --- - -
---- ------- ---•--------
I.c ...._--........------Number of Recepta
" 81ze Sub Feed'Condui`._:. ---.-----Number of Fixtures.......
----..-- --
:f'Siie Sub.Feed 'Wires ' ......Ranges KW `Y• --------------
.Number
__ ____...Number of Circuits-,.:................. .Oven- ----------- KW...------�-- ---- ----- ....
Number of Meter Signs Transformers #
Dryers- , .. . .
">Motorg. - I-IP - "
-. Phases`:' �''ti.• Permit Fee $IAO
4 ".,Motors ..... I HP-- .... .... Phase`' i + k. + I'1; - .,
:'Motors....... HP p.... ... .. . Phase 1� " Fi;P�xCliarge---- u
a A4 X�•.Ai• r '-� .1 - .....
.�.." `Y. �••' •"... •. .i.' tn,'_ .-r" .TOTAL FEES . i ..
RECORD .OF INSPECTION PAP�'PROVALS -' ;'% "I�•. .
Rough Wiring............. ,FixtarB':---`-'---- `.'.-
�'�a. .. •DATE '(�.` " IXLECTOR •" ,-DATE ^..SPAC7
'Finish Winng,..--..... .... L.'..................... Motors - .. - r
jtn {•DATE INSPECTOR
;D�� ��u � Final -;��'��•'1: : . '
! v,- ,'�•- .OATC 'INSPECTOR
Y, s a
ELECTRIC SERVICE N.C? OFFICE
COPY
t�
BUILDING ,INSPECTOR'S R. E^ z,
'.. _ CITY OF CUPERTINO
O7. 0
• To ... - ...........p--. _...:.....- ....... ..., 196..x..
You are hereby aul ogized to connect the ELEVRICice for -
ner or enant ..),L�! . -
�..�:
'At
1
.. .......... Size of Wires .g..... ... Size of:Swifch' ;,Sp:t: . .
Motor Load L ade5.-----..L.....`.-----:. Voltage -:.----......._ Phase:.:...... - -
f-featmg Load.... .! ........::.K:rW . Volt•t e ... .:. -
rs' rr Light ' 110 ..`� New Serv¢c t
No of Meters c 1 _ S - �.;Remn*ect .
+ - 1 Heat .. 220 . . - Three- iie _Move Sewice '
No of Adel- Meters
❑ Power . 'Thre Ph e r -�Ivlove¢Meter .x
1
'r
ELECTRICAL`;INSJr�(3Er�-.,
- 1041/60500