196 NO. STREW �OT NO.
9155 APPLICATION O ELECTRICAL PERMIT
Cl Od CUPERTI O
DaA%* 195 Permit
M� �j�J 1959 Fee
Bhp srheby made t. ,"
City of Cupertino for a permit to install electrical
O wiring and/or fixtures as 1 1(QW(�(�'c reverse side hereof, and agrees to install said
wiriT$+ ttt or(itu lh�bJwith the provisions of the Electrical Code of the
City dP Cuu ertmo, and all other laws applicable thereto.
v Use of Premi
C A
Owner ress .2ZJ t�
`" By Address
CONTRACTOR, AGENT
Approved ute
Phone: ELECTRICAL rNSPEC[O; -A?Z
.t-
NEW REL . -FE.Es
Size Service Conduit./-If.fly}_......Number of Outlets------------------ -12--- ----------
Size Service Wires... .........Number of Switches---------------- ./..9... .......... ./ 0......
Size Service Switch-.....1 ........Number of Receptacles........---- --- ----------
Size Sub Feed Conduit..................Number of Fixtures.................. ..1.4.. .......... ld.A....
Size Sub Feed Wires..................Ranges--------1-..... KW.........:_- ---------
---------- .....
Number of Circuits------------------ Oven ---L......... KW----------- ---------- ---------- --
Number of Meters....... ..............Signs.......... Transformers........ ---------- ---------- --------------
Misc................. D ers ........ ........ - --------- ---
-- ----------
Motors---02 ------ -------- yy Phase------------------------------ Permit, '**' Fee $i�Odc
Motors.......... ......... HP Phase--------------------
Motors.................... HP-------------------- Phase-------------------- H P Charge........------ --------------
TOTAL FEES -V
E 0 SPECTION APT.O.
S --------
Rough Wiring,/.20... .... ......... Fixture APT
. . .......I---
IN R
Finish Wiring ... Motors
DATE INSP CTOR
;-CT
----IrFiontaolrs... ..DA I' INSPECTOR
ELECTRIC SERVIC NOTICE OFFICE
COPY
yQ BUILDING INSPE�FO 'S OFFICE
Ij
CIT P,R INO
.......... Xy . ... ..... ............ .
To
You are hereby autho i e connect ric service for
Owner or Tenant .... .. . .... .......... ----- e 2"
At ....
..... . .
6r.. � ........................ .......... ..............
No. of Wires .,,5 ............. Size of Wires .... ........... Size of Switch
Motor Load ............................ Voltage ................................ Phase ....................................
Heating Load ........................ K. W. . -- —....................... Voltage ................................
Light Lig ..............110 --------New Service _.......Reconnect
.....
No. of Meters ... ..........) ........ Reconaect ................
licat ................220 ...N-------Three Wire ..................Move service -----
No of Add. Dieters ..........
-------------- re
F1111se..................Move Meter............
ve '11.1se
.......... . .. . . ......E...... ....................
AL INSPECTOR�..i
104 6/59-250 ECTRICAL INSPECTOR