113NO. I STREET
2154
APPLICATION
LOT NO.
ELECTRICAL PERMIT
CUPERTINO
Date /' /j t' / •jS 195 Permit No.
Fee $ 9
Application is hereby made to the City of Cupertino for a permit to Install electrical
wiring and/or fixtures as listed •on• therreverse 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«g
Owner
By
CONTRACTOR, AGENT
Phone
Address
U 04
Addresses///�.��✓ ��—
Approved
ELECTRICAL INSPECT02
. . . I
NEW
RPL - FEES
Size Service Conduit../._'f. 4 ......
Number of Outlets ---- n ------------
-- /� --
----------
-- I..?f, ...
Size Service Wires ..... I .t � .......Number
of Switches--------------_
- /� ---
----------
- 13-6 ...
Size Service Switch----- ---------
Number of Receptacles.._.........'.--
....._-----4.1.1
...
Size Sub Feed Conduit ------------------
Number of Fixtures-. ----------- L...
A
--------
/_-� e -
-----I -----
Size Sub Feed Wires ...................Ranges.....]......_
KW.........._-
----------
----------
--
Number of Circuits---------------_--
Oven I .......... KW --------------
----------
----------
--- P
Number of Meters -----/ ................Signs----.----
Transformers.....--
----------
-----------
---- .........
Misr----------------------.-..........- ryers ----------------------------------------
Motors ..... Phase --------------------Permit
---------
..........
Fee'
..............
$1.6�
Motors.................... P P/ -------------------
Motors.................... HP --------------------
Phase------------_----
Phase .................... H P Charge ----------------
::i, -
TOTAL FEES __
.
e
Rough Wiring
Finish Wiring
Fixtures
Final
Final .!
INSPECTOR
ELECTRIC SERVI bE I'j,OTICE OFFICE,
b COPY
BUILDING INSPECT R' OFFICE
CITY OF CUPERTI O j
_..... -- --- ---- �• ii'...._ ................. 195.1
To I
You are hereby autho ized to connect t11 Electric service for
U
Owner or Tenant ..................... ....... ...'G(-�w�l[(.,.
At ......ll:.���cK-----..4 .,-ll' i..�1-i2./._ iZas,/.-.L°....... ..............................
No. of Wires _..?.........._... Size of Wires .... -1yz.......... Size of Switch ../QC1.Iogy a
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W . ............................ Voltage .............................
No. of Meters
Light ..............Ito ._.... ......New Service ..... ±..'..... Reconnect ................
...._J..........
Heat ................220 ....'I'hme \\/ire ..................Move Service ..........
No, of Add. Dieters ..........
Power ..............]'hr<re Phase ............... ...hLme Meter ............
........... .. .........................
.......
....----
...
104 6/59-250 ELECTRICAL INSPECTOR