325* a07y �GcA-2_
Y
No. ST APPLICAEy I FOR ELECTRICAL NO.
�; aLOT
ITY OF CUPERTINO
Date w ns , 195_ Permit No.
3�?
Fee '$ rjG1
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
Tff
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 Premie - fir�� i`eC/iJ1
Owner ' Address pp,
m By n dl Address7� -/i7s�sr,/.rl.�/.��A'V
/7 CONTRACTOR, AGENT
�jt _ T Jf 'S'r G APProved�Z'_ �tP�1 i
Phone• ELECTRICAL WSPE g eV
NEW RPL FEES
Size Service Conduit. ....Number of Outl s. :.. L.... .. ...
Size Service Wirf22.... ./. -------.Number of Switc�.... .... .......... .......... ..............
Size Service SwitcOO...X,�-Number of Rec ptades...- ...
Size Sub Feed Conduit..................Number of Fixtures............, --- ---------- -----.---- -..-.-........
Size Sub Feed Wires............-------Ranges---------------- KW------------ ---------- --------- -------------
Numberof Circuits................... Oven -------- ----- KW-------------- ---------- -------- --------------
Number of Meters..... ..............Signs.......... Transformers........ .......... .......... ..............
Misc------------------------------------------------Dryers--------- --------------------------- --------- -- ------------
Motors----------------- HP.................... Phase-------------------- Permit Fee $1.00
Motors.................... HP.................... Phase
Motors.................... HP--------------- Phase-----------------... H P Charge.----....----- ------------ '
TOTAL FEES r12, 0�
CF IN ION APPROVALS
r7 Fixtures
Rough Wiring .- . . �. _...... .�---------.... ......-
iC INSPECTOR All INSPECTOR
FinishWiring .................11.........................11 Motors .......----- ...-------�--------.. .--------.....--
DATE INSPECTOR DAT[ TOa
Final T...............�. .r----........
DATE INSPECTOR
I� ELECTRIC SERVICt� CE OFF
�yBUILDING, INSPECTOR'S' t-P
IIJJ CITY OF CUPERTIN
................ i ../+_._. .............. - t9. 1
To
You are hereby authorized to comv ect th/e Electlt service for
� n
Owner or Tenant ...... .��• /r' ................................_.................._......_--.......
At ...... N:.........----------------------------..........
No. of Wires ._.pC ............. Size Wires ......� .......... Size of Switch._.-f�.A �
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ....------......-----........
Light ..............I 10 . ......New Service ..../......Reconnect -----..........
No. of Dfeters
No. of Add. ....................
Heat .............._220 ...............Three Wire ..................Move Service ..........
Dfeters ..........
flower .............. Three Phase..................Move Meter ............
104 6/59-250 ELECTRICAL INSPECTOR