644it �/zI
LOT NO.
{ t, �ArT�1 '
^ nAPPLICATION� FOR ELECTRICAL PERMIT
CITY OF CUPERTINO r
in , 1960 Permit No. - -
v - - Fee S
Application is -hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the 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. '
R Use of Premispq
v
a Owner L 155
v
BY � Addr ss ✓
CONTRACTOR, AGENT = f
Approv L
Phone: -/ .. ELECTRICAL INSPECM1
Rough Wiring,
Finish Wiring
INSPECTOR
Fixtures
Final
INSPECTOR
NEW
_'RPL FEES
Size rice Conduit__ -{V .... -.;Number
of .Out e s_ ..........:......
y.:
SA
Size Service
mber,
r OD
Size Service Swrtch /.
Number. of Receptacles.'-.
Size Sub -Feed Co' nduita..:...........Number
of Fixtures ..................
•o
---------- ..1
;:/
..
'q
Size Sub Feed Wires --------- -----------
•5.::
Ranges ................ KW-"-----.....
....... --::r-------
-. .. ;
Number of Circuits--- `-------------
Oven -----I -.---- KW.-------
- ..------
---------- ----
--JNumber
Numberof Meters ._:'-_---------------
Signs ----------- Transformers ....
.........-----
-......... ...............
.... Misc------------------------------------------------
Dryers ...... i-- ----------------- .........
.-- �=-:---"-
""-------�--"y'—'-"-
t' .Motors ....-----_...------ HP --...-------.......
Phase --...:-----------
Per mit
Fee $1.00 ••
� .Motors '-....------------ HP --------------------
Phase ...--------------
.i
-
...--- HP .------------------
Motors -- �'/
Phase ....--------------- H P
-
Charge................
g
.-
TOTALTEES
Rough Wiring,
Finish Wiring
INSPECTOR
Fixtures
Final
INSPECTOR
TO
You are hereby
Owner or Tenant ..
.... ..... .... ...... .....................
No. of Wires .rZ3........ a ..... Size of Wires':..... Size,
of Switch
Motor Load ............................ Voltage ----- .......................... Phase -----------------
Heating Load --------------------------- K. W................................... Voltage -----------
No. of Meters ....... Light -------------- 110 ................ New Service . . ............ Reconnect .............
...........
I ' Heat --------- ----- 220 ..:'..'..........Three Wire ..................Move Service ..........
No. o. of Add. Meters ..........
�Power .............. luee ... .... ... ter ............
.............. -------------
C
104 1/60-500 � --
ELECTRIC
SE01t--ONbTICE:
�
BUILDING
.
INSPECTTOR'S. OFFICE
'Copy
CITY
Or - .a
CUPERTINO
.........................
lthrimd,ty connect
thq-E1,ECTRIC service for.:
.... ..... .... ...... .....................
No. of Wires .rZ3........ a ..... Size of Wires':..... Size,
of Switch
Motor Load ............................ Voltage ----- .......................... Phase -----------------
Heating Load --------------------------- K. W................................... Voltage -----------
No. of Meters ....... Light -------------- 110 ................ New Service . . ............ Reconnect .............
...........
I ' Heat --------- ----- 220 ..:'..'..........Three Wire ..................Move Service ..........
No. o. of Add. Meters ..........
�Power .............. luee ... .... ... ter ............
.............. -------------
C
104 1/60-500 � --