623 LOS NO.
v( '
APPL I AT, O FOR ELECTRICAL PERMIT `
I APIR T I CITY OF CUPERTINO
Date ci ra RTIN05_ Permit No. 166
.e'
Fee n 1,:5
t.�. 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.
Use of Premises ^ ��
Owner 'Address
By Address
in ry CO TA CT R`p�2�u ij' I
1 '� l. T4 � 'l.. 1 RICA ..APProvedL_.(/7r�:�7 p�6tlritrt��i.J
Phone: 271 B,,...er a«___. ELEcraccnL rNsreczwt ,{i1
In ,lase, Cal. CY 3-1862 1f{\J
NEW RPL FEES Size�$en Conduit.... .......Nurnber of Crutlets--- ------------- _d.0/... ....- ..
..............
Size Service Wires.-.--:........... ..........Number'of Switches......... .Yb.. .-:.._._ ..............
Size Service Switch-------/C..0.......Number ot'!,k
eceptacles............ . .....i--------
Size Sub Feed Conduit------------------Number of Fixtures.................. .......... .......... ..............
Size Sub Feed Wires....................Ranges...... ....... KW-.--.-.--.-- ---------- ----------- --------------
Number of Circuits-......q------ Oven ............... KW-.-..--.----- ---
Number of Meteri.............._.......Signs...:.....: Transformers......_ 7--------- ----
----------
Misc------------------------------------------------Dryers....m................................... ------ --- ------ ..........
Motors HP ................. Phase--------------------
---------------- Phase--------------------
Motors... HP-.-- Permit Fee $1.00
Motors.................... HP.................... Phase-------------------- H P Charge----.,.........
TOTAL FEES
CO OF 7SPECrION. APPRO L
rvjAe .. ....
Rough Wiring!�/6/_,V --- Fixtures . . . ..... -------
OR
OR
Finish Wiring --- otors ...... ........... ... . ..............
OR
-tFinal
T ........
�ATZ , A.;..
4/1 IMSP[OTOR
D__I
ELECTRIC SERVICE NOTICE - COPNI
BUILDING INSPECTOR'S OFFICE
CITY OF CUPL'RTINJO�'// /
_........Y-......VJ/YJ........................ 1`.�.....
To
You are hereby^aut ized to connect the elect i nice for
Owner or Tenant ......_......... .. ._....._......_
At .....r/�L1��.. ..__'... ...�..,rl�R"'. ...L.if m...._.... -
No. of Wires .............. Size of Wires .... Size of SwitchGQ,r�
Motor Load ............................ Voltage ---.........----............. Phase.------------
Heating Load ..........._........... K. W. ...... ......................
----- Voltage ----
Light...._............110__ .....New Service.................. Reconnect_:............
No. of Meters.-._/._._..__l -
' /Heat.................. 220.A. ._..Three Wire.............. Move Service............
No. of Add. Meters.........-_1
'p. 1 Power........... - 'u 'hose._.............. Move Meter-----.-------
........... .. ... ... .. ..._.......t...:
104 2/59-250 ELECI'IiIGAh INSPECTOR