1419NO. STREET � {'LOT NO. �.
APPLICATI N FOR ELECTRICAL PERMIT
�..
OF CUPERTINO
Date ,195— 4 Permit No.
MAY 17 1962 Fee $c --Q
Application is hereby made to the City of Cupertino for a permit to install electrical
wirin r or turn�+ Art
reverse side hereof, and agrees to install said
wirin �d/or HA turBS�i� rH dhvith the provisions of the Electrical Code of the
City of Cupertino, all -o ler laws . Ic thereto.
p
71!1n4l;10, n, A"ENT•{`/
7 _� Approp
Ph6nc .. p EUCTRIqw INSPECrolt
NEW RPL FEES
Size Service Conduit ---------- .-----------
Number of, Outlets ------------------
--..-Size
SizeService Wires..........................Number
of Switches................
Size Service Switch ------------------------Number
of Receptacles: -----------
Size Sub Feed Conduit ---------
-------- Number of Fixtures ..................
Size Sub Feed Wires ----------------
---- Ranges ................ KW........ ------
Number of Circuits...._ ............. Oven -----
Nf mber Mete s2,--Dryers-------
-----------Signs---
------
Mts �77.r.---- Motors -----------
--------- HP ------------------ Phase
Motors ------------`------ HP -------------------- Phase ..
KW-----------`
Transformers------- ...... ......:...............
60
---------------- --------- ---- ...- - .:...:....—..
"'"".. " " "x Permit Fee $1.00
Motors-------------------- HP ----------------- Phase -------------------- H P Charge----._..---._...
TOTAL FEES—
RECORD
EES RECORD OF INSPECTION APPROVALS -
Rough Wiring ................ ---------------------------- Fixtures ---------- -- ----------
_...,,.
g-.. DATE INSPECTOR DATE INSPECTOR
Finish Wirin r Motors --------S
----- -- --------- --- --
,�- DAT[a'u••t ---INSPECTOR +' C ATy � SP gg��Ofl V
Fina1.5C�IC^.i/.�...
' .Z DATE INSPECTOR
" ELECTRIC SEfM1. ICE �IOT.tl OFFICE
'•. LJILDING INSPG OR'S�-�OFFICE
CITY OF CUP.F. TING.
:
To..........
• ' You are her aut�o to connect the TRIC service for
,Owner or Tenant J--. .....__.......` . __.... ..
At ...... .:.
No. 1.of Wires ..... Size of Wires :_--- ...'. Size of Switch
Motor Load ................ .......... Voltage ------ ....... ........ ..... Phase...............
Heating Load K. W-.._.......---- ----------- ...... Voltage ._........................
1 w
Light .............110 .'...._New Service ...._.--: .-Reconnect ...
..... .............
No. of Meters eters ......__.. Heat �P22o ------ c......Three 're .............__Move Service ..........
...... t ... _
No. of Add. Meters .._...'.. Power � ,' - __ -
'-----... * Three ha Move Meter f e
" }� - ELECT RI ALSECT