189 NO. STREET �RICAL
) LOT NO.
APPLICATION FOR 'EL PERMIT
CITY OF CUP TWO - P
I.
' y
Date a
;1952T Permit No.
Applicaf`V is.l{gieltSy m4a5ath Git of Cupertino for a permit to install electrical
``� wiring and/or fixtures as listed on t c reverse side hereof, and agrees to install said
wiring 1GL fio res,ip�T ar g yjtP�he provisions of the Electrical Code of the
City of tin an (W
V licable thereto.
v Use of Premiseg �'—':L+�•'vu-4�
c
Owner - cCr?i�ii.�rt- r_�� >•%X/'/�irc Addf`ess _'�// r �. �Fs�--%:•�
By er -K i_ i7.r, Address
CONTRACTOR, AGENT
Approved �� � fir.
Phone: ELECTRICAL INSPECTOI ylL�
. 1 6 NEW EEL FEE!;
Size Service Conduit.... u.----Number of Outlets.................. ...Z . .......... .
Size Service Wires------2A.7.......Nurnber of Switches---------------- - .. .........
Size Service Switch......1.j4............Number of Receptacles... d
P .......
Size Sub Feed Conduit..................Number of Fixtures------------------ --113
........ .......... ..
Size Sub Feed Wires................---Ranges------ ....... KW.---------- --------- ---------- ----/-,�
Number of Circuits..........---... Oven --- .... KW------------- ---------- ----------
Motors........ ----
13
Number of Meters........................Signs.......... Transformers........ .------- ----------- ------------
Misc------------------------------------------------Dryers......----------------------------- ------
. . HPIZ ----- Phase--------------------
Permit Fee $r0o
Motors-------------------- HP/.................. Phase--------------------
Motors.................... HP-------------------- Phase------------- ----- H P Charge----------... . .
TOTAL
iarge----------------
TOTAL FEES--
C SPECTION APP
Rough Wiring . ..... Fixtures .. ... .. ....... ----------------
P#S;
XCTOR T TOR
Finish Wiring .... Motors ... ... . ....... . ............
DATE INSPECTOR Final ...... T---------- ------a-R--------
DATE IxaPecioR
ELECTJIC i SERVICE NOTICE OFFICE
COPY
P40 BUILD NG JINspFcTOR'S OFFICE
qlTY PF CUPERTINO
......—... ..................... 190
To
You are hereb:y;,aut=orid to C(
5�r
innect Elect cc ser-vice for
Owner or Tenant . ..... ... . .
....... --- ----------
AtIjollpe . . ..............................
No. of Wires .5.f._ ........... ize of Wires ---- p?-........00Size of Switch AAMAW
MotorLoad ........... ---------------- Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
)Light ..............110 ._`.._.New Service `.....Reconnect ................
No. of Meters _.../._..........
Heat ----------------220 6!r7:7....:1'hme Wire ..................Move Service ..........
No. of Add. Meters ..........�Power ..............
I hrec Phase................_Mote Meter............
104 6/59-250 ELECTRICAL INSPECTOR