1431 (2) NO. STREET LOT NO. .....r�.2..Y..........................
1 APPLICATION FOR ELECTRICAL PERMIT
i
1't pr
Date---Ff .0l��_.......Ic7Fj'7L9 -i. Pcrmit No. -...--....---.---.---.--................
Pee $ I1
A I n ' 11her���(( rt of 1 � for a permit to install electrical
I• wirin ��r�or ztu�S�+a�' tt ��r� '
/ n c of
side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
V
City of Santa Clara, and all other laws applicable thereto.
U
RUse of Premises -..------. ..-7:4Q2-!-/y--- ------------------------------------------------------------------
Owner .16.),l�1'C&177712...-----.-„----_- Address
By �4e---*-°Cf-L �ecfrlr..��.� Address .
--- --- Lj-,-�
d noroE, aNT�9'Y �.EganCaalos SG p`PProvPhone: ELECTEICAL
,., , San 80se, Calif
NEW RPL FEES
Size Service Conduit...l................Number of Outlets------------------ ---17-9-- --------
Size Service Wires.._...-....._-----------Number of Switches------_........ ---------- -
Size Service Switch-.Jd.d...........Number of Receptacles_-----------3.�.. ......... .
Size Sub Fred Conduit------------------Nurnber of Fixtures------._-------- ---------- ---------- ----------
Size Sub Feed Wires--------------------Ranges......I------ - KW.......-._.- ---------- ---------- ------�'r
Number of Circuits....---------_--- Oven .1---------- KW..--'-------- ... ------ ---------- -----/7S!
Number
----t..-7-(--
Number of Meters........................Signs_------- Transformers---....- -- ------ ---------- --------------
Misc- -------------------------------------------Dryers--------------/------------------------ ._------- ---------- --- - -----
Motors------44------- HP....../"1---- Phase------------------- Permit Fee $1.00—
Motors..------........-- HP....._.--..--.---- Phase.._----------------
Motors --- HP-------------------- Phase------------------- H P Charge.....
TOTAL FEES
ASr
I #C!oC - INSPECTION APPROVALS
Rough iri g41010" ------------ Fixtures ----- ----------
--- - --- --------.----------
GATE
--- -------- -
.ATE INSPECTOR DATE INSPECTOR
FinishWiring ...`-----.....I------------------------ otors -- ----------- --------- ----------------------------
DATE INSPECTOR DATE INSPECTOR
r
'inal --------------- ---------- ---------------------------
I
RN.—I iDATE INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
........................ ... .._ ....__. 196..1-
0
' You are hereby autho 'z to Com ect he � I s reit for
Owner or Tenant ._. .. ..- .
At ....�C��..'s'/-....° .. ./, gi_.,�tn _........----
No. of Wires —',?........-.-_ Size of Wires ✓� /9•
.......... Size of Switcl ... ..Q..
Motor Load .......................... Voltage .._.. .. Phase.................... ---....._..
HeatingLoad ...._........ ....... K. W. ......-............ _...........- Voltage .....--.............-..........
Light ._......__-110 _.�._-_New Service _� .._..Reconnect ...._.........
No. of Meters ._. .__.....Heat ....... New
_.._..Three Wire ..................Move Service _._.....
No. of Add. hfeters .......... Puwer -
...__....... re _..-_....... .hfove Meter -----.......
ELECTRICAL INSPECTOR
104 7/61-500