2120 NO. STREET LOT NO. .
�APPWCATION FOR ELECTRICAL PERMIT
IpbF CUPERTINO
JUN 21196'T'- � IL�-
Dateennit No..,�1.9 1 _ �/:
LI i Ur tiurLK I
1=ec ti /,2 , go
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 iH other Iaws applicable thereto.
Use of Prem1qps e'-c�
c
v
Owner Address 9 60 G,
r
14 BY Address U .
CONTRACTOR, AGENT
T Approved
Phone: G _ O ELECfR[GL INSPECIOi
NEW RPL FEES
Size Service Conduit..----..-------.:...Numb r o outlqs------------------ ......
Size Service Wires--------------------------Nu Switches.._........._. .......... ....21
Size Service Switch............._........Number 4 Receptacles............ . - ----------
Size Sub Feed Conduit..................Number of #ktures.................. ..
,4 --- ---------- -- --
Size Sub Feed Wires-------------------Ranges---------/... KW..-.......--- ----- -- --- -- --- --------
Number of Circuits................... Oven ...... KW.............. -- ---------- ---------
Number of Meters........................Signs------.... Transformers....... ------
Misc-----------------------------------------------Dryers-----------------` ... .. I....------ -- -- --------
Motors.--3......... HP-------------------- Phase---.-....------..._ Permit Fee $1.00
Motors.................... HP-------------------- Phase---------- ---------
Motors-------------------- HP--------------- ---- Phase------------------- H P Charge---------...-
TOTAL FEES
CR _SINSPECTION APPROVALS
5_� Fixtures --------------- ----- - ------ --- --------
Rough Wiring --------- -It..0. INSPECTOR
Finish Wirin W....... otors ------------- ---------------------------
D,,Te 6�1 INSPECTOR Final 'R
-NS CL 0 .......
VILSPICTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
b !�Q CITY OF CUPERTINO
r s�
............. -. ................. 196:tc
�4V
You are hereby auth cited to connect ele4rical service for .�
Owner or Tenant ...... ..-11 . .I. '•/�//i _ �/i �f �C
At
- ----------------------------`•-------
No. of Wires .......;:5�.......... Size of Wires 4.3e�- .......... Size of Switch/K—IU-f --7-..
Motor Load .......................... Voltage ................................ Phase
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters.... Light............... 110.x:.'... New Service.._..... Reconnect.................
...............
No.of Add.Meters............
Heat................. 220....x:'Three Wire................ Move Service...........
Power............... l—i'hm-Phar. Move Meter..............
✓
104 1/63.500 aLEC TRIC AL INEPECTOa