856 NO. - 5"IREET� �'.�f, LOT NO.
t .ter.
APPLICATaON 'FOR ELECTRICAL PERMIT'�^
Cj:r;V OF CUPERTINO
Date ''�- �"' //_ '+F'k. i r 9S (b
-; 195= Permit No. ,
Fee y
Application is hereby made to the City of-;.Cupertino for a permit to install electrical
izl
wiring and/or fixtures as listed on the re� side hereof, and agrees to install said
wiring and/or fixtures in accordance with he.,provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premisesi:5e,^
a Owner y Address
• 9 By Address
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL INSPPC7bl
if NEW RPL FEES
Size Service Conduit....'Zt4..........Nu:mbei of. 04 q5S ----- --". ... ..1.�.....
e Wires.....2�.......:A-------Number of Switches --- ....... ............ .......... ..............
Siz'e-ser'Qc, ItcITIS -1 1W I
Size Service Swit�c-h'.. ...Number of ReceptacIA-1 ........
Size Sub Feed Conduit..................Number-of Fixtures----------:-!-A 'g
...........
Size Sub Feed Wires._................Ranges................ KW.............. ....:..... .--
.... ..*-----------
Number of Circuits.-..-----L.::.. Oven .............. KW............ - --- ---------- -------------
Number of..Mete'§-*:.:i--- ...:.........Signs.......... Transformers... .....----- ---------- --------------
Misc............._................-........------Dryers:--------------------------------a.... ---------- ---------- -----
Motors................... IV------------------- Phase--------------------- Perm
Motors...... HP-------------------- Phase...................: it Fee $1.00
Motors...- HP.....................Phase.................... HP Charge_. -------------
TOTAL FEES— I
RECORD Of INSPECTION APPROVALS ,i`I .
DAT . I
Rough Wiring---- .....-1...... ------------------ Fixtures --------:-'----- ------- I...:-------------
E INSPECTOR 11 O-TE INSPECTOR
Finish Wiring ...............I......... .......— ---
Motors ------------- --- ----- ------...Aft,............
DATE INSPECTOR DATE . INSPYTOR �
Final ..................:....... ...........;...............
DAVE I INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR's OFFICE
CITY OF CUPERTINO
----------------- .... 1961
You are hereby authorized to-connect the ELECTRIC senlice for
Owner or Tenante."z",W....................
At....
--
W'Inl-exd ............... -- ------
No. of Wibes. ............... size of Wires ...... Size of Switch /e-!.WA7-.
Motor Load .:..:..:..............::Voltage...wtx..................._ Phase..._.--...........-----------.......
HeatingLoad ........................ K. W. ...----.---------................. Voltage --------------------------------
No. of Meters ------- Light ..............110 ................New Service.......... ......Reconnect ... ...........
...........
No. of Add. Meters .......... Heat _.......,...220 .✓...............Three Wire ..................More Service ......
�Power .............. 9, _P e..................Move Meter .............
-------------------- -------
104 1/60-500 ELECTRICAL INSPECTOR