138 le-1 71
NO. f STREET 'I { LOT NO.
2154 L1 APP ?AATI'g0- 1F R ELEGTR7�ICAL PERMIT
I CUPER INO
3 n
Date I �Aef % /LA 195A Permit No.
�/ . I ;����� l=ee
Application 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.
V1 Use of Premi —
C
a Owner � - �_ 4s
y
By e .J.r /A Address
CONTRACTOR, AGENT
Approved
Phone: ELECTRICXL INSPECT=
NEW EEL FEES
ON I —. e
Size Service Conduiv......xl�-----...Number
---- --'Number of Outlets------------------ ---1,4. ..........I./4-.Q----
Size Service Wires..... ....Number of Switches................ ../ -- ---------- /s.,d.....
Size Service Switch...../.0.0--.......Number of Receptacles------------ -14. .......... ..
Size Sub Feed Conduit..._--- .........Number of Fixtures------------------ --A�.. .......... /—.O..
Size Sub Feed Wires..._...............Ranges.-----/------ KW-------------- ---------- ---------- -- -
Number of Circuits..--- ........... Oven ..1......... KW.............. .... .. .......... ..
Number of Meters.......Z...............Signs.......... Transformers........ .......... .......... .............
Misc---------------------------------- Dryers---------------------------------------- ---------- ---------- ----
Motors------ ------- Phase-------------------- Permit Fee $1.00
Motors.................... HP- ------------------- Phase--------------------
Motors.................... HP...._----------- Phase.......------.... H P Charge......----..... ---- ---------
TOTAL FEES
CO INSPECTION APPROV LSA i
r:7'.......-
Finish
Wiring .... ....... Fixtures
'OR
.......... 4a?,Pc T
Finish Wiring ... ...... . .. rs ------
Ims OR
ot
DAT9
....................
-tFmaol . . ...... m5-..
CT
INSPECTOR
ELEC14(8 •SERVICE NOTICE copy
BUIL IN INSPECTOR'S OFFICE _
MY OF CUP RTINO
•} V ...........�:j-V f' .� ...................... 19:
To
You are hereby autho ionnect h)Electric service for �> '• '
Owner or Trnant �r�- C./-� lit....................... '
....................................................
.,........ ......�,,•,
No. of Wires ....... 3 .'......... Size, of Wires ......:n............. Size of Switch./z:a7�i�! •�
MotorLoad.......................:... Voltage ................................ Phase .......`..........................
Heating Load ..............:.:....... K. W. .................................... Volta .
I• .. Light
No.of Meters ............_110 ...............New Service .......Reconnect ................
I :..�............
` Heat ......._.......220 ..........Three Wire ..................Move Service ..........
Naruf Add. Meters .......... - •w
Power.............. - /l Thrm Phase.__,.............Move Meter............
} • ... +i.%• ...... ............................... .
104 6/59-250 ,� _ _-ELECTRICAL INSPECTOR