855 NO. STREET LOT NO.7
APP IL CATIONI FOR ELECTRICAL PERMIT \
CITY OF CUPERTINO
1LL 1%z /
Date , 1,ryS CJ Permit No.
I Y tv CUPERTINO I-ee
S.;Agplicatioh'-is hereby made to
'the City of Cupertino for a permit to install electrical
-j!�titi'ring and%or fixtures as-listed on the reverse side hereof, and agrees to install said
Ilk wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City'of Cupertino, and all other laws applicable thereto.
Use of Premises
.4 Owner�E //L�s Gf sress
By Address
CONTRACTOR, AGENT
Approved
r Phone: //. LECTRICA1 tNSPECTM
NEW Size Service C 17EE
-onduit--- .......Number of Outlets-----T RPL ,��`•�-,
.......... ....
Size Service Wires.... ........Number of Switches.._........ /.. ... .......... .
Size Service Switch----- ----Number of Receptacles..........-- --V.. .......... .
Size Sub Feed Conduit------------------Number of Fixtures----.:----........ Jy ---------- -
Size Sub Feed Wires....................Ranges......e-....... KW.---.......... ......-... .......... ..
---- ...;
Number of Circuits..._.........---- Oven ---L.--.-.-- KW------------- -------- ----...--- --
------ -
Number of Meters........................Signs---.-.---- Transformers-------- ---------- ---------- --------------
Misc------------------------------------------------Dryers.../.......................
---- --
Motors-------------------- HP-------------------- Phase---------- ------ -------
Motors-------------------- HP Phase........:----------- Permit Fee $1.00
Motors------- Phase.................... H P Charge................ 6-29
1—...... HP ---------
TOTAL FEES
REC INSPECTION APP,
Fixture11914�9-- --- ---- - ------
Rough Wirin ..........
ofy TOR
------ ....
Finish Wiring -DATE I.SPEC.TO.R...fMotors/
FinalYAT/ ......�i.. -- - - - -------- -
DATE
ELECTRIC SERVICOVA "TICE
BUILDING IN9PECTO S"Q I FFICE
JJ C17 OF CUPEZINO
---------------------4 ...... ....................................... 196-0.
TO
You are hereby a2utqi ie��nconnecl thp.ETDCTRIC service for
Owner or Tenant ............. .
. ... ......
. . ....... -- ... ..........
.....
............................
---------------
No. of Wires .............. Size of Wires --------- Size of Switch --------------
MotorLoad ............................ Voltage ............................ --- Phase--...._..------.-...----....--
Heating
.................... ..............
HeatingLoad ........................ K. W. ................................. Voltage ................................
.1
Light ...............110 -'�.........N4 Service---4�.........Reconnect ................
No. of Meters ----*"
Heat ..............220 lam---------Three Wire ..................Move Service ----------
No. of Add. Meters
�Power ------------- WrPh9,w.. ,... ...... ..Move Meter ............
................ —------------------------------------------------
E
104 1160.500 j��ELE ICAL INSPECTOR