864 NO., CMUT
y
�F4.- Date . 4 5L � SYDi�C... y� 'CCiW.rr, t
ret. �lQ tlfiII is r to the(-tg:9fy20
*WMR a fbaum as listed on the sevscse side, agrees 2li ate '. .-
Barring m
0Or-fid' m aceorda=vial the viS£ots of fhc, cam£ of tic
try oi (4.6416o,:-gad an iothha laws ap fltarbk'L .
uw of NNW
lowna Address
A
1 Ad*esa
r Via, eMMr f
a
f y.' �. 3•- 7 '���v' ,-
li
AM NEW RPL FEES
14r
Size Service Conduit.......... .... b er of Outlets_---------------- ---------- --- e
Size service Wires..:......'-:------._: umber of Switches---------------- -------- - ---------- --------_--
Size Service Switch.........:'............ umber of Receptacles------------ I--------- ---------- --------------
Size Sub Feed Conduit.............;---Number of Fixtures.................. .......... .......... ...............
Size Sub Feed Wires..._........_....RangesRanges................ KW.............. .......... .......... ..............
Number of Circuits--- ........... Oven ....'--------- KW------------- ---------- ... ..............
Number of Meters.....:..................Signs.......... Transformers.-.----- ---------- ---------- --------------
.......... --------------Dryers---------------------------------------- ---------- ------ --- ------_------
Motors..................... EAP-------------------- Phase------------------ Permit Fee $1.00
Motors--.i.... HP.---------------- Phase....................
Motors............... HP ------ --- -------- Phase-------------- H P Charge--------_.L...-------
TOTAL FEES—
RECORD�OF INSPECTION APPROVALS
- -- --
---------- - ----------_------- -----------------------
Rough Wiring,...t_.-.-_..... -------i---------- Fixtures .-
Finish Wiring . 0.AT.K..... ........IN-SP-I-CT-0-A-_f Motors .........,D.TL---------- --------IN-SPC---CT-0-R------
CATE INSPECTOR DATE IHSP9CT0R
Final -------------------------- ----------------------------
DATE INSPECTOR
5 ELECTRC SERVICE NOTICE �roa YE
J , suc IN sP>croR'S orrlCr: ji•>' ;,
I'Y OraiCUPERTINO.
To .J r ,a.. • . y........-'---....
You are hereby authorized tq Unnea the TRIC sen•ice for ��
Owner or Tenant ....r... +../ ...'���L-'`•'..f�`1..:Lr.,.�.. �f..�.r .,,..� !:...
'J a!q /
y� i•�
At._ ...Fl ..i..................�f .....J/1Ic�Y /r..�
No."of Wires ........... .._y..:.. Size of Wires '.:::.. 4......... Size of'Switch_Az)
..Load ........................... Voltage ................................ Phase..;.; ........
Heatite., _*d ........................ K. W. .................................. Voltage .. ..:_.:,. ..... ...._...
Light ..............110 ......._.......NawSwgGe w........Reconnect
No. of Metecc....... ..........
_ ,,,
"• - Heat_^............220 . ....._Three.Wi[c:'...:_.:x.E.!..More Service ..........
No. of Ada."Meters........... .1
Power .............. ree P ..................Move Meter ............
----------------------
: .:....rt
104 1/60-500 ./ /EIJECTRICAL INSPECTOR