1661 (2) NO. ETWWW. LOT NO. !X
I
01 C MAT 104 ELECTRICAL PERMIT
SEP 18 19621b CUPERTINO
Date D6r- Permit No. /10 (01
Fee $
Application is hereby rnidi to the City.of 'Cupertino for a permitrto install electrical
wiring and/or fixtures'as listed on the reverse side hereof, and agrees to install said
wiring and/orji�t4ies in a�,cordancec.with the �rovi-sipns of the Electrical Code of the
City of Cupertino and alCjtl;cr-law-s appli�able-thcrcro.�
aj Use of Prcmiqk J,
f
;zi Owner Address
BY ::U�444�& Address
CONTRACTOR, AGENT Approved
1 crta
Phone: .4-/. :L BLECTIUCAL NVE
EW RPL FEES
Size Service Conduit......................Number of Outlets.................. /...,7.... .......... ..
Size Service Wires..........................Number of 'Switches............... ....KY. ....
Size Service Switch...._.................Number of Receptacles............ .--?.... .......... .....Iff-d
Size Sub Feed Conduit..................Number of Fixtures.................. ./.. .. .......... ....1.22
Size sub Feed Wires------------------..Ranges......../..... KW....-------.. ......---- ......... ..-•---7--,5--
Number
....-7,1F.-
Number of Circuits................... Oven ... ....... KW.............. .......--. .......- ........2.57
Number of Meters........................Signs.......... Transformers........ .........- .......... ..............
misc................................................Dryers../.....-,........................... .......... .......... ........7
Motors........ ... HP-----.............. Phase....---..._.......-
.
hase.................... Permit Fee $1.00
Motors................... HP-................. Phase-........-..-.....--
Motors.......
............ HP.................... Phase.................... H P Charge.-...-.......-.. ...../.
TOTAL FEES ?
C INS;PECTITj A L�
2M LS
J,x
xtu ...... ........
id�ujh Wirin . .. ...... ............................S ;NBPZCT'0"*
FinJsh Wiritig ................I..........................
DATZ INSFUTOR
0 TZ
it ,ll ELECTRIC -SERVICE NOTICE OFFICE
+1
BUILDING INSPECTOR'S OFFICE co^1-
CITY OF CUPERTJI/NO ,t,'
/ ..................L!�.t..�..............:................ 196.4
To fi.,
You are hereby au t d to connect the EL RI se cc r
m -
Owner•or Tenant . .. ....... .... ...... _..............._. .. . .... ............-�..---..:....:.....
At .....ajG.... ....- ......
No. of Wires ............. Size of Wires........ Size of Switch ../
Motor Load ........:............--- Voltage ._.... ........................ Phase.....----........................
HeatingLoad ...................... K. W. ......... ................:....... Voltage ................................
V ' ' Light ..............110 4::�....._.New Service.....1/.........Reconnect ..........._...
,No..of Meters ..../.....---. Heat X20 .`..�.... .Three Wire ...................Move Service ..........
1Va:
of Ad�i. Meters .......... Power ._.......... T .................Move Meter ------------
.L, ;aICAL INSPECTOR
w+ioa 'vFt-sno I