1162 NO. qTkrr.T .. LOT NO. .._------_-7----------------------
� .wp I is FOR .ELECTRICAL PERMIT
, 1961 OF SANTA=GtidRA
ocT 9
Date.--.------- 1. ' Permit Nip.,._.:.:.:./�`''
��tg€' RSa ° -
CITY:.: ... , . . gee s j�
.Application s.hcreby made to the City of Santa Clara foi,a permit to install electrical
wiring and/or,,fixtures as listed on the'`'rcvcrse side hereof,'and agrees to install said
wiring and/or fixtuacc
res in' ordance'with'.the.provisionsof the Electrical Code of the
c City of Santa Clara, and all other laws applicable thereto. -
" Use of Premise's-:!1.CI�Q.._....!,L../ L--------------------------------------------------------------------------------_.
kyl,&
Owner - t•dl-s -r2--------- ------ Address �f-w .----- Ptlln�?� �
.fr! .. .� �'':tlz ,...tls.ct4...... Address '..11 �.� C •*..!.,_` CONTRACTOR, AGENT QI
P6iin• /1_^/ c ELECTRICAL INSPICTOA
NEW RPL- . FEES
tl
Size Service Conduit... ...-...'...............Number of Outlets------------------ -----IZ ---------- -----J-1
Size'Sery ce Wires_'r1---------L.........Number of Switchesl-------------- --- -- -----4n ...
- -- -------
Size Service Switchl-1.771:t-.Ct--�---I,l�-Number.of Reteptacles............ .A.i-- ---------- --;)--.
IV - /
Size Sub Feed Conduit......._.........Number,of Fixtures--------............ .......... .......... ......
Size Sub Feed Wires------------------Ranges................ `KW.....-.------- --------J .......... ........
' 9
Number of Circuits--- ---------- Oven -------------- KW.............. ....
----- ---------- -- ---- -----
Number.of Meters........................Signs.......... Transfomners... ... .......... ..
1�Misc.----------------- .............................Dryers----------------------------
----- ---------- ---------- ------ -------
Motors.................... HP-------------------- Phase-------------------- - . I . . ..
Permit Fee $1.00
Motors........._......... HP._..._----........ Phase............ 7
Motors.------------------------HP.......------------- Phase__!----------------- HP Charge_...,...
TOTAL,FEES
INSPECIION APP
in,/, �C... ----------- Fixtures
r 11
-R
oto A/
fi
OR
F�nish W�rmg
'S
0 OR Final
DATI
ELECTRIC SERVICE NOTICE FICE
!{�Q� BUILDING INSPF,CTOR'S OFFICE
I' 1 CITY OF CUPERTINO
To
You are hereby au't4orized t" connect Lhe ELECTRIC service for
Owner or Tenant... .
1 At ,
.
of Wires .. dd
�"............. Size of Wires'..�...�.:......:. Size of�Switch
Motor Load Voltage ................................ Phase ..............................
ww. ._ _ .. . . ,. .
-< HeatmgLoad - K ;W.. . .y.: .. . .. . Voltage `
--•.r"'-"�`•""2n�'r"""'",.r."°a""S'""�''�"L-r � _ Axa
rxs ^ N
s J H�eat•� "'"- 220 'y./:. ' i_rT ,y�_- .,, -
Ligh� 110New Service �"� Reconnect
`" ' ThreeWire :.Move�Scrv1ce �'*" �,
NoofA �Meatr
I;.�.
•Power ree Phise -Move Meter
ELECTRICAL INSPECTOR t
N �, r r