646 A}h NO STREET ; \-'�! .� LOT NO. r \
APPLICATION FOR ELECTRICAL PERMIT
,f:, 'tfi� "` CIT-Y-OF CUPERTINO /
Date �'.•1 , '� -11PFRT01 1,1 Permit No. • ..(pS��o
Fee sl-la 70
:.Application is hereby,made to the City of Cupertino for a'permit to:install electrical'
wiring and/or fixtures as listed on the reverse.`ide hereof, and agrees,to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of'the ^'c
City of Cupertino, and all other laws applicable thereto.
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Owner: �tddress'
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"•CONTRACTOR, AGENT
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Phone: 41-;;1 O.�J / ELECTRICAL INSPECTOR
NEW RPL ... :FFGs
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:aze Ser ice Conduit..::!Y-.. ..:...Number of Out)lets...............--- .; �� ------ - '
Size Service Wires...... °T#"7l...-...Number of Switches---------------- 17--- ---------- ,,... �. r
Size Service Switch....../..GQ: :.Numbei of Receptacles......... .. .. .......... _.........
' �Zl. ...
Size Sub Feed Conduit---:.....:........Number of Fixtures-_ .. ....... . ..........
�
fi ;
Size Sub Feed Wires.-_............... lan es...- ---�---::.KW--=..-�.-- -:..:.:-. ... -. ....
Number of Circuits........----------- Oven .......... KW......------: ..... ------ '_e_.
Number
Number of Meters........................Sighs----------. Transformers........ ._.......
Misc......-------------------------------------------Dryers..... .....................------ ---------- -------- - ..� l•
Motors-------- --
------:- HP------------------ Phase-- •�; Permit Fee $/: .
Motors------- ----------- HP------------------- Phase---------•--s::..
Motors ----------- HP----------------- Phase------ H P Charge.----_--..:*-- -��-"---
" - •�.>, TOTAL FEES _ �G• O
' R
F PECTION APPRO AL
Rough Wiringc� - Fixtures . %'� ...................
g /O . --- ------- " - ---- �-----
7
_ �� <TOR �. •"� QETOFinish Wiring //..� -....---'-- Motors ..✓- A`.---�-- -. --�--------------- i
n(TE v I.SPECTOR I ' 1 9f[GYOR
j Final ----7"""-"..TE ` -/--J' . .
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ELECTRIC SERVICE . NOTICE .4y.
.�� BUILDING INSPECTOR'S OPPICI
JbiCITY,OF CUPERT(NO
To
You are hereby aut z to connectlqclectric service for
1 Owner or*", en, .. ....... .. . . . �4 ............. s .
At
No. of Wi es ...7................p., Size of Wires'�.2.y2..............r Size of Switd>/QG49--.., 4
Motor Load .......f.__:..-5.. Voltage ---------------- Phase----------*..........................
f �::'
Heating Load'r'----„”` ...-. -: Voltage• ............................
f Light................. t t 0.............New Service...._......._...Reconnect.................
Heat._...... 220:�..,JThree Wire.:...........__. Move Service............ :
�. Nti. of Add. hlc4ers.-__-_....
Power:........:..... .ir . .:Phi e P a$ ve Meter.............
.....�......_`.: // ..................................
--...............
. 104 2/59250 ELECTRICAI. INSPECTOR