136 vl (• •
NO. STREET • ' LOT NO. !
2 x S 4
} AP ILa CdT�ON�'F�OR ELEC RICAL PERMIT
1 CITY''OF CUPERTI O
Date .1195 Permit No.
a 10' ' I ��� Fee $ �%
A+pplication 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.
b
v Use of Premis,, —
c
v A
. ;.j Owner` w1 �' n w Q�ddress w?Je�+�•eJQ+-`_
� By •�"' G'� � � Address
e CONTRACTOR, AGENT
'r Approved
Phone: ELECrRI c INSPECT02
NEW RPL 'FEES
Size Service Gonduit./__ ---Number of Outlets..............::.. ./--.&-- ---------- ---
Size Service Wires..3*_14----------Niunber of Switches....... .: .. ..........
Size Service Switch...../..A.0.._-----Number of Receptacles...........p... ...P-4 ----------
Size Sub Feed Conduit---------------f--Number of Fixtures.......-....------ -4 3-- ---------- -
Size Sub Feed;Wires....................Ranges......I....... KW------------- ---------- ---------- ---/7
Number of Circuits.........._....._. Oven ----1......... KW..........._. .......*.. .......**, 74......
Number of Meters--.../.................Signs.......... Transformers........ .......... .......... ..............
Mist:----- ..........:------------- Dryers ------------------------......I.......... .......... ......
Motors._,*------------ H Phase------------------- Permit Fee $1.00
Motors................. Hi�-----�__7. Phase......--.----------
Motors
hase....................Motors.................... HP-------------------- Phase.................... H P Charge................ ..... .........
TOTAL FE
WOF INSPECTION APPVYA
Rough Wiring 4.1 1 . . ........... Fixtures -------------------
ATIo�
P Z)
2 j1 p
Fit /D�4 ... ... ........ Motors --- ...........
A 9 INSPECTOR S fic OR
Final ----- ...... ....... ......;----------
T DATE f� ,-.-",,FeKCTOR
i 40W�
ELECtRI SERVICE N E OFFICE
COPY
BUILD[ G INSPECTOR'S F
ICY OF CUPERTINO
1 ................ ............. %."T................, 19..`_����
To
You are hereby an r d to connect a Electric service for�Cy
Owner or
Tenant . ...... .... .�...� �/-��frr.1.......G.� ......................
No. of Wires ....-.$.............. Size of Wires .A............... Size of Switch ......................
Motor Load Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light .............tt0 v_......
New Service ......Reconnect ................
No.of Meters.... .............
Heat ................220 v........Three Wire .................Move Service ..........
No. of Add. Meters ..........
Power.............. Three.Phase..................Move Meter............
...... ...............................
too 6/59.250 ELECTRICAL INSPECTOR