2181 oa SsI � C,�
NO. cS�TREET �A ..r., LOS NO. �.
APPL""KATION
OR ELECTRICAL PERMIT
JUL 15 9.CGi'fYtOF CUPERTINO
Date Permit No.
Fee S /,el 65
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
O City of Cupertino, and all other laws applicable thereto.
a, Use of Premises
c
a Owner J o ✓xwC' Address 0 g0 no�e C
d ByAddress S
CONTRACTOR, AGENT' -
fI / _ Approved
Phone: N ( ZO ELECTRICAL INSPECTOR
NEW RPL FEES.
Size Service Conduit......................Number of Outlets..._............. ---3.,1.
. .........
'Vo
Size Service Wires.........................Number of Switches---------------- ,Z#-- ----- .... ..;Z....LF---
, 0
Size Service Switch........................Number of Receptacles.........._ .3 S- ---------- ---3.......
.......
/0
Size Sub Feed Conduit..................Number of Fixtures—---------------- --U.. .......... ...
Size Sub Feed Wires..._..............Ranges....------- KW......--.----- -----/.. .......... .......
Number of Circuits------------------ Oven ....1...... KW.............. ...-J-- --------- ..............
Number of Meters........................Signs............ Transformers--.-.--
Misc-----------------------------------------717---Dryers --------------
p
Motors.......4........ HP........... ..... Phase. ;0
Motors.........L......... HP.................... Phase.................... Permit Fee $1.00 0 0
Motors.................... HP.................... Phase------------------ HP Charge----------------I-.-,/....../
TOTAL FEES IV I/ev o5-
Rough Wiring 2.7.-,&-�WNI
Finish Wiring
Days .....
OFFICE COPY `
ELECTRIC SERVICE NOTICE
n (\ �� BUILDING INSPECTOR'S OFFICE
111t"e°`�!'1l CITY OF CUPERTINO
- t 7 19A
To
You are hereby authorized on ect el 'cal rvice for `
Owner or Tena t -.............. .....-- -.. ......`-- —.....-.
...:... -- - -....----
At ------------ -- . .......
a� -----
No. of Wires --------;a---------- Size of Wires �*.. ......... Size of Switch 10-04",
Motor Load Voltage ...---------- Phase .
Heating Load K. W.�-- Voltage ............................
((Light......_V. 110....., New Service..... ./... R�econnect........_._.....
No. of Meters---------I.........� J
Heat.......a.�'.. 220. ,.1- Three Wire._. .......... Move Service............
No.of Add. Meters............
Power.........__...___...... Three h e... ......_. Move eter..............
104 1/63•$00 ELECTRICAL tNSPPCi