1199 NO. STREET LOT NO. .. ...(.1........... ------------
APPLICATION FOR ELECTRICAL PERMIT
SA..,mivri�-ccRicA Cc..y+,_z.11�✓I....O
Ih ® U n
j . Date ...._. i -t/ fi-'6i;-�-��U'�--._ �/. - Permit No. ---------../�..'.7... .:..........
r--ee
Applicatio i h by � ��}}��of Santa Clara for a permit to install electrical
lei wiring atOc�'�rYfix iges i l�ytt' lbeverse side-hereof, and agrees to install said ,
1' wiring and/orifi$tures in accordance with the provisions of the Electrical Code of the
City of Santa Clara, and all other laws applicable thereto.
Use of Premises ...S.T'ALL
----------------------------------------------------------------------------------------------
Owner .....Mr Address 4. U.
(1/+l b'P a o�nra.EV _u•;,t1'/_an,o„,t.OJN?,.:y.1 •$Jy..':.f�•„�
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CI'dl-�C/�o
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By ._.. Address
TRACTOR, AGENTApprove -- ---- --------`-------
❑7rLECTRICAL INSPE -
�_
NEW RPI_ FEES
Size Service Conduit.... Number,of Outlets._.__.........: /NEW
......(..
- -
S,��Ser`vi ee Wires._'474---------Number of Switches............ --- -I--J... .......j
Size Service Switch.JUPA--------Number of Receptacles._._...... .. .......... ..Q_G
Size Sub Feed Conduit------------------Number of Fixtures--------------- _17=
Size Sub Feed Wires....----------....Ranges................ KW_....------- -----I- -
Number of Circuits-.----------..::.-,Oven -------------- KW...-.......... ...... -------
Numb'er'of Meters................----`..Si
gns.....:.... Transformers...... ------ --i------- --------
. .. ..........
isc:--------:__:-------------t-----------------------Dryers----:------------------ ----I7�14ot6rs. _Ihi7---- ------- HP_- --- Phase--------------
Peit Fee $1.00
'Motors ....... HP-------------. -- Phase----------------
Mo—tors ------- HP..... Phase............... .... H P Charge---------i----- -----
TOTAL FEES-
C R OF/
IN, !O,�� INSPECTION APPROVALS
Rough Wiring ... ................... 'Fixtures -------------------- ----------- ---- - ----
GATE INSPECTOR DATE INSPECTOR
.T6CorS .....
Finish Wiring ----------------I-----------------------* ------------ ----- - -- -----
DATE INSPECTOR'
---------- -------
DATE 'INSPECTOR
71
ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING BUILDING INSPGCTOR'S OFFICE
CITY OF CUPERTINO �
j
� To
/9-= ..... .......... ....... I 96�-
You are hereby autborrcgd to nnect the ECTRIC service for "
Owner or�Tenant
At 9.-D _
No of Wires ............ Size Size of Wires .... .: Sae of�Swrtdi
rta
Motor Load ... .................�- TOltageY.2, ...��%""'ram-:+...sa^"�Ph''�se .-:."'-Rc��+'�`.���
Heating Load -- ------------------- K. W. --------------------------------- Voltage .:. .v.;:...---------...---
New Service
•.r' )
Light
iter .............{0•. .. Three Wire
----v�------Mo`oe Service ___
'No. of Meters ..
«:•::._"..--.....
No. of Add. Meters ---....... a Meter ...........
_'
A -.......-..
y
too 1/60-50 o' ,M', <'C} ° ELE TRICAL INSPECTOR