1262STREET LOT NO.
APPLICATIQ& FOR ELECTRICAL PERMIT
® CUPERTINO
Date U- = Permit No.
v
~. Fcc
AppliIo3�s�y fSiQ��IQj�plof Cupertino for a permit to install electrical
wiring
Mor fix ures a7s✓th to on �e reverse side hereof, and agrees to install said
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 Premi�'�
�j CO ACTOR, AGENT
Address 3 G
AddressS'-
Approved —
ELECTRICAL INSPECTOR
NEW RPL FEES
Size' Service,conduit-1-Y-f ----------- Number of Outlets ...................
........
_ .:;;:,
20
—1 .....
Size Service W --- Number of Switches ................
..........
..
10
f Receptaclesacles ............
Size Service Switch ----16 .......... Numbei of
----------
-;7 ---. -
------
I
y
Size Sub Feed Conduit...—...Number— of Fixtures------------------
----------
-
.1 ............
—
I
-
Size Sub Feed Wires ...... -------- Ranges ................ KW --------------
----------
------- -
------
Number of Circuits ...... ........ Oven ....... KW.......------
--- ------
-----j--
7
-----
Number of Meters ...... .................Signs.....:.:.. Transformers --------
----------
----------
------
i
Misc................. , ryers --- ------------------------------------
M t 4 Phase
----------
--------
0 ors -------- --------------------
Motors -------------------- HP -----------------
--- Phase ---------------- ---- Permit Fee
Motors-------------------- HP .................... Phase -------------------- H P Charge -------------
TOTAL FEES It I /*
C INSPECTION APPROVALS
Rough Wiring .......... Fixtures ---- ---------- ------ ------------------------
INSPECT
DATE NSPECTOR---DATE INSPECTOR
------------ .
Finish Wiring ....:.-......--I---'- �
... jMotors .. A ----
DATE INSPECTOR
Final ---------
DATE 9..1XCTO.
ELECTRIC SERVICE NOTICE OrFICE
-
rn
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN�O1/
..........................7 ?------------------------- .., 196. .
TO .
' You are hereby aut
a to o nect th E� service for
o
Owner or Tenant _ ....
...... �./f
.. ......... ... . ... .. -I—................."-'-'_............_.
,✓ i/1..............-
No. of Wires�.4��- �-..:-
. _...........- ...................
.....:. Size of Wires ..'r.- .......... . Size of Switch
Motor Load ..........................
Voltage---- -........................... Phase..........------....-.............
'- Heating Load ......................
K. W.------------- _................. Voltage ..... ......
Light ..............110 _.' -.....New Service __��!...-Reconnect--_-...--._::.;
No. of Meters ---. -.....
Heat 220 -.J/...__Three Wire _---_-...-------.Move Service
No. of Add. Meters----------
......
Power 'fh r'PRi • _-....--.-.-.Move Meter ...........-
r.
.1 ECTRICAL INSPECTOR
104 7/61-500
-