2368 20063 Merritt- Dr. 20 Plan 2420
NO. STREET LOT NO.
APPLICATION FOR ELE T-RI�E I
CITY OF CUPE C�
SEP ��"� BSEP 69 31k)1
Date , 195_ Permit No.
�JTY DF l(eF#.6[ h ,9 c'
Application is hereby made to the City of Cu lino raper Ito tall electrical
04 wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
C4 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
V1Use of Premises residence
c
a Owner Blossom Valley Homes, Inc. Address Cupertino
By H. G. WANDERER
Address
(M MN*kcA�FM
SUNNYVALE. NIA Approved
Phon
ELECI8ICAL INSPECT02
_ - - - NEW RPL FEES
Size Service Conduit------V..`/-------Number of Outlets.................. .. ... .l.l. ..............
Size Service Wires---------;.: ._Number of Switches................ �.. .......... . rv.
7J
Size Service Switch..... .....Number of Receptacles............ ......... ..----.... ......p.......
Size Sub Feed Conduit..................Number of Fixtures------------------ .1.9---- --------- ---1a..
Size Sub Feed Wires."-...............Ranges-------/--' .. KW.....-------- ---.1.... ........ ......� .
Number ofGrcvits..... ......... Oven ....�........ KW----.......... .... .. .' - --
Number of Meters.......................Signs---------- Transformers........ ---------- .......... ..............
Misc ............... Dryers...1-----------...........------------ - �...._�..._..... -f7s--
Motors.......5 .
.-....... HP.._ ................ Phase.................... Permit Fee $1.00
Motors.""'.............. HP.................... Phase..........----..... /• �
Motors.................... HP-------------------- Phase----------------- H P Charge-
TOTAL
harge.TOTAL FEES ��•
O OF INSPECTION APPROVALS
RoughWiring... .---- ---- ------------------- Fixtures ...................... ------------------ --- --
OAT INSPECTOR DATE INSPECTOR
Finish Wiring " " "
'..._. ... �-------------------- -- Motors _........... ......-'-�............................
DATE INSPECTOR DATE INSPECTOR
Final -------`--.........---- ----._'-----------------.
DATE INSPECTOR
OF CE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............... ....... 14.
To IN
You are hereby author nect electrical Re
Owner or Tenant ................
.....
At .......
No. of Wires ....... ....... Size of Wires ...................... Size of SwitchtlnAt4
Motor Load .......................... Voltage ................................ Phase .......................... . %
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters... Nm mice...e........'Reconoect.................
................ 220........... T wimr .. ... Move Servioe............
No.of Add.Meters............fH
Power.............. N--T
M Move Meter..............
...............
................................................
104 1/63.500 ELECTRICAL INSPECTOR