2180 �2 0
NO. STREET LOT NO.
1 �
•JAPPLICATION FOR ELECTRICAL PERMIT
Y CIr OF CUPERTINO
a UI 15 //�� D /P
Date , Igjg�j . Permit No.
Fee h
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 Premisrs �PS
C
a Owner C��� ?A^ : Q ddress o C
By �� Address S
CONTRACTOR, AGENT
Approved
Phone: (7 —O O ELECTRICAL WSPECrbR
NEVI -R:'L FEES
Size Service Conduit-----Z....4Z.-N,mber of Outlets------------------ --1.6.. ......... -7.70-
Size Service Wires.......#
.-..Number of Switches................ ../. ... .......... ..............
.100.2.4 1 00
Size Service Switch.....
.....Number of Receptacles------------ --30-- ---------- -
Size Sub Feed Conduit...... ......Number of Fixtures.................. ..1.....- ---------- ---
/...... ........ ....../--- --------- -------
Size Sub Feed Wires...-- ..........Ranges-------- KW......
Number of Circuits........... Oven -----1....... KW............. ....../. .......... ..............
Number of Meters........................Signs.........../. Transformers........ 75
Misc----------------------------............------Dryers---- ........... -------------
Motors...... a5l-----
3.......... HP.. Phase------
Motors.................... HP ----/4,....... Phase....-./._. ..-- - Permit Fee $1.00
................. Phase-------------------- 75-
Motors.................... HP.._.........------ Phase.................... H P Charge................
TOTAL FEES
Rough Wiring 2
�p
Finish Wiring j
9KICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
TO ............. .......... ......12m. -- --------, ISIZk
You are hereby authorize Ise e for
Owneror Tenant -------------------j
At ............. ��—�nel
.-L.W------------
No. of Wires ---
..................
sz------------ Size of Wires ------------Y.... Size of Switch
Motor Load -------------------------- Voltage -------------------------------- Phase
HeatingLoad ........................ K. W. ------ -------------- ------------ Voltage - -------------------------- --
IGOO e<
No. of Meters................... Light..�.......... 110............ New Service..../........ Reconnect......_..........
No.of Add. Meters............
Heat.......
eat.. 221.7 Wir .- ------- ---. Move Service............
Power.............. P ------- -- - Move Met ..............
104 1/63.500 ECT CAL INSPECTOR