126 _ 7cl
• NO. ` `F LOT NO. �
1
2154
APPLIC L N FOR ELECT I� AL PERMIT
CITY OF CUPERJNO
Date '� , 195 Permit No. 42 S�
9 Fee $ q
Application is hereby made to the City of Cupertino for a permit to install electrical
Ni 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 Premi
a Owner FA;4,71407
y......
IV;
✓ Ad�rress r
.9 gy . , At Address 'r'f
CON7RACIOR, AGENT v'
Approved
Phone: ELECTRICAL INSPICTOt
NEIV
7 RPL 'FEES
Size Service CADnduit./.."_�" �71.....Number of Outlets-f.... ...w\_,_W , I
. .... .......... .....
Size Service Wires.... 7"Z
.........Number of Switch I..:T!-- ---------- -------
%*%—
Size Service Switch......_/KO.... her of Receptacles.... ........ ... .......... ...........
Size Sub Feed Conduit------------------Number of Fixtures....... ....... .......... ...............
Size Sub Feed Wires...................Ranges..........11........ KW.............. .......... .......... ......
Number of Circuits................... Oven .�.......... KW-------------- ........
--------- --------- ..
Number of Meters......?................Signs.......... Transformers........ .......... .......... ..............
Misc------------------------- -'--..C......... ryers--- ------------------*------- -------- ----- --- ---------- -----
Motors....7�� .. Phase.................... i
Motors.....------.--..-.. .. i:1V............ Phase......-----------
Motors
hase-------------------- Perini[ Fee $'1.00
Motors.................... HP........ ------- Phase.................... H P Charge----- ---...----
TOTAL FEES
0 SPECIHON APP
. ......... . . ....... .
Rough Wiring-. .. -- --- --- ------ - Fixtures ----------
PEC CTOR
Finish Wiring .... . .... otors 2...........
ATE INSPECTOR DAT 0,3TOO
IFinal . ........ ............ ...........
aATK t INSPECTOR
ELECTRIC SERVICENO I OFFICE
BUILDING INSPECTOR'S {SPF
COPY
CITY OF CUPERTINO
...........
... ............................. 19a
To
You are hereby au r' ed to conn e Electric service for
do
Owner or Tenant ........ . . ............ ................
At ... .... . ... .... ..
.. .. ...... ...... .......................................
No. of Wires ... ................. Size of Wires .....jm.�.......... Size of Switch./OVAW.
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No.of Meters . /...... Light 10 .......New Service ....!��...Reconnect ................
220 .`......Three Wire ..................Move Service ..........
......JH at
No. of Add. Meters ..........
Power.............. Three Phase..................Move Meter............
104 6/59-250 ELECTRICAL INSPECTOR