149NO.`• STREET LOT NO. 'Y O
1 5'T,
L�
- APPCA, R -ELECTRICAL PERMIT
..
OF CUPERTINO I
Date �!_ �F�C •� 195 Permit No.
Fee `;
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.
N Use of Premicec
v
Owner/,�4•
i5 By Address
CONTRACTOR, AGENT
Approved
Phone: ELECTRIUAL INSPECM
Size Service Conduit../.....
RPL
of Outlets ------------------ ../T3--1-------
Size Service Wires ---4f ..........Number of Switches
Size Service Switch ..... (../..v .........
Number of Receptacles...........
Size Sub Feed Conduit ------------------Number
of Fixtures................-.
els..
L
Size Sub Feed ;Wires ................
...Ranges._......_ KW --------------
Number of Cirnuts-------------------
Oven ------- I..... KW ..............
Number of Meters.....................Signs..........
Transformers........
/R3
/
els..
--------
- x.:.:.. -
.,S.. ..............,..........
..........
..........
..: .:.:..
Misc---------------- ---------- --------------- Dryers.-------------...------------------- I---------- I ----------L..
Motors ----- 4A.....-.... HP..... Phase----.-.........--
Motors .................... HP -------------------- Phase .................... Permit Fee $
Motors-------------------- HP .................... Phase ------------------ H P Charge.....-------- --
TOTAL FEES
Rough Wiring, 2_.. ./ %�._�:� Ftp..-- --..-.. Fixtures
// a
Finish Wiring .. .... - otors
OATC (((/INSPECTOR
Final -.
INSPECTOR
'
ELECTRIC SERVICE:
QTICE
BUILDING INSPECTOR'�fFICE
Copy' .�
CITY OF CUPERTi
0
,, :
To
You are hereby auized to connect th�Electric service for
Owner or Tenant'G*%!•' /�/ `• �'��/1 (= ?
--...................•------....----.....
.....................
At r_:. ..i
No. of Wires ...n
................... Size of Wires :.... r:..... Size of Switch,
Motor Load ............................
Voltage ...................... .._. Phase ....................................
HeatingLoad ........................
K. W.......................... e........ Voltage................................
//
Light ............-110.1 .........New Service ..........Reconnect ..............
No. of Meters ...1..............
Heat ................220 .a%......Three Wire ..................Move Service ..........
No. of Add. Meters
..........
Power .............. .: .� Plrase ..................Move Meter ............
.•Three
104 6/59.250
ELECTRICAL INSPECTOR