1064 (2) STREET 'S �" LOT NO.
APE= N FO E ECTRICAL PERMIT
C OF CUPERTINO
Date EV22JO Permit No.
o C1
Pcc
Apn/(�7�err�(�il 'I� ity of Cupertino for a permit to install electrical
wiring nd/or fixtures as is ste�on e reverse side hereof, and agrees to install said
V wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
Z, City of Cupertino, and all other laws applicable thereto. -
r
Use of Premises
Owner'\ e /�h0� lA /A . e4t / Address — 016 � aPin�Li
gy (L<. 'f �&--2— Address
V CONTRACTOR, AGENT
h 11e: •— �OsNl ! PP ELECTRICAL INSPEcrot
NEW RPL FEES
Size Service Conduit- ...........Number of Outlets.....'-.....--<'---------- ----------�--- ----------
Size Service Wires--_----------------------Number of Switches--------------- -------
Size Service Switch------------------------Number of Receptacles-..--------- ---------- --------
Size Sub Feed Conduit..................Number of Fixtures------------------ ---------- -
Size Sub Feed Wires--------------------Ranges................ KW------------- ---------- ---------- ------------
Number of Circuits.................. Oven .............. KW ......--.... ........- -- - - -
Number�of�Meters--.-------------------Signs-------- Transformers...----- -.------- -.-:.../_ --.-..-----
-- ..
Misc.-..-/Wk'—_-`�2� ..1..... .. Hryctrs�!': Z�E ------`-- ----.....�-..-._(.. ...`..`.: —
Motors-------------------- HP-------------------- Phase----- ... Permit Fee $1.00
Motors------------------- HP-------------------- Phase----------------
Motors------------------- HP---------:----- Phase_------ - ---- H P Charge -------------- -------------
. . TOTAL FEES_��
RECORD OF INSPECTION APPROVALS
Rough Wiring.........------I............................ Fixtures .-- ---'--------...�--
'^ DATE +to -FinishL
INSPECTOR T �.�IUATE
' ti
Finish Wiring - -^........ .. ....:.:..... Motors -- --.....---- - --- -.... ..
r DATE •' INSPECTOR E PE ••(/vf[11'�{ED,(/.�1[
.. DqAT
•
. .. _.'Ati. : a.. [ti[ j-r�{•.
DATE
ELECTRIC - S RVICE NOTICE OrFICE
I
--BUILDING INSPECTOR'S ''bFF1--C-l'
COPY
i
C� ,:,C V_AMCIQ-! F�. CUPERTINO
V
To ------------I......... .......................... 1961...
You are hereby auted to connect the ELECTRIC s( vice for
Owner o Tenant --------C. 1-J Q
--0 0 ............-R,(F 4e ----- --------1-14
At
.4
No. of Wires ........3........... Size of Wires --------Z-------- Size of Switch ------------------
Motor Load ....................------- Voltage ................................ Phase..... ..............................
Heating Load ........................ K W. . .............................. �Voltage ..----------..................
No. of Meters .-ter....._...... Light .............1 ......... -Ne",Setvj --- --------------Reconnect
s .. H��t m� ...... .. ....Three .............Move servi,
No. of Add. M .... cc
.. :Power .............. Thre Plia.c ... ......-._..Mose'Neter
.......... ..... .... ... ....... . ...... ........
IN
104 1/60-500-s, 'n