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185 r NO. I JSTREET LOS NO. `3 2155 APPL, C)TION FOR ELECTRICAL PERMIT ' OF CUPERTINO Date _1_, Permit No. I=ce App ' is eb ade to the City of Cupertino,for a permit to install electrical wiring d/r ffa(Eres RUTiNe reverse side hereof, and agrees to install said •V wiring and/or fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicable thereto. v Use of Prem'—, c v :7 Owncr _ '�•� / �lfi}dress � ���-L Cis By fe Address y CONTRACTOR, AGENT ' Approved Phone: �y ELECIRI L INSPECTDX dib • NEW RPL , SEt. "I, Size Service Conduit../..... .......Number of Outlets......_.......... -A --- ---------- -- Size Service Wires.....' _..Number of Switches................ 13--- - -------- --llt�--- Size Service Switch----/.��-------------Number of Receptacles............ .. .. .......... ............. Size Sub Feed Conduit------------------Number of Fixtures............------ /.3... .......... ..AsY.i.P.- Size Sub Feed Wires...................Ranges----------....'KW.............. .......... ........... Number of Circuits-------- ..... Oven .............. KW-------------- ---------- ---------- ----P---- Number of Meters.1...................Signs.......... Transformers......-- ---------- ---------- -------------- Misc-------------------- ----- -----.. ...-Dryers._.....----------------------------- ----------- ---------- ---- Motors......�Z--------- H ....... ............. Phase.................... Permit Fee $1.00 Motors-------------------- .................... Phase-------------------- Motors-------------------- HP-------------------- Phase.................... H P Charge---------------. .........7J.. TOTAL FEES P CTION APPR)VA14S Fixtures ... ----------- sal. . ......... Rough Wiring RCTO C 0 ........ .... ..... Motors ..... Finish . ;. . I SPE 'VOR i.......... Fin .......I, 091., -:�AF ? OAT[ I I.SPECTOR ELECTRIC SERVICE NOTICE' orPICF COPY ' BUILDING INSPECTOR'S OFFIC: t 3 CITY OF CUPERTTII/N ................ .y..............5;.............,... . 19.',0 To You are hereby authorized to connect the Electric service for Owner or Tenant ..f!,�,����(�,..Il�.. .... .. ...... .---.......................... At ..../�.�l�o... f�JJ� AA No. of Wires .... .............. Size of Wires . sa4..........Size of Switch ., MotorLoad ............................ Voltage ................................ Phase .................................... HeatingLoad ........................ K. W. .................................. Voltage ................................ Light ............_t 10 . ......New Service .....Y/..Reconnect ................ No. of Meters . .. Heat .............._Z?0 t!7�---------Three Wire ..................Move Service ---------- No. of Add. Meters .......... Power .............. Three Phase.... ._..._....Move Meter....__.... ........... .... .................................................... 104 6/59.250 ELECTRICAL INSPECTOR