146 NO. �lyRE« LOT NO.
kAPPLI'
2 15 4 ON FOR ELECTRICAL PERMIT
OF CUPERTINO
Date, _ 195 Permit No.
Fee 5
ApplicationrisCherebyjmad t8 tH City of Cupertino for a permit to install electrical
wiring and/oi•-'$ixtuies�as�i�ed�'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.
V,
Use of Premises_ ✓
Owner,/r-�ai✓�/ ��� �� s
By Address _fie
CONTRACTOR, AGENT /
Approved C
Phone: ELEcnucAL mspwrm J
NEW RPL Fs ES
Size Service Conduit--- .Number of Outlets............. ... ...�-#-
----- . ....
Z._----Number of Switches--=------------- --
Size Service Wires... .-.L.:.._.'.<...
-- ---------- --
Size Service Switch... ._.......Number of Receptacles...........'.. .;...... ..3.G.2...
Size Sub Feed Conduit..................Number of Fixtures.................. - -- --- ---------- -
Size Sub Feed Wires-............._..Ranges......./...... KW.............. .......... .......... ...
Number of Circuits................... Oven ..../-------- KW.......... .......... .......... .. .
..........
Number of Meters......-.............Signs.......... Transformers........ .......... .......... ..........
Misc---------------- ryers....................................... ..........I..........
Phase.................... Permit Fee $1.00
Motors
--------21.L
Motors.................... HP.................... Phase...._............-.
Motors-------------------- HP-------------------- Phase........--------- H P Cliarge................
TOTAL FEES .
WyIECO INSPECTION APPWV 'S
e
------------
Fixtures 4
Rough Wiring -2
Finish Wiring otors ...........
CTOR
. .........I� .'........_-
DAT-
..TO
Final ......
----
DATI I.SPECTOR
ELECTRIC SERVICE NO OFFICE
COPY
BUILDING INSPECTOR'S OFFI
CITY OF CUPERTINO
.......... 1 rw'h.9...... ......... 19>
To
You are hereby authgrize to connect thectric service for
Owner or Tenant .. :............... ....................................'j
At x — ..
L' •. Q
No. of Wires Size of Wires ...:_.:'........... Size of Switch =�Xl./
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light ..............110 .... ......New Service .. .......Reconnect ................
No. of Meters..:... .........
Heat ...............220 ..`........Three Wire ..................Move Service ..........
No. of Add. Meters ..........
Power.............. -t Three Phase..................Move Meter............
,�•
104 6/59.250 ELECTRICAL INSPECTOR