833 (2) tee.
NO. STREET• LOT NO. /
.� ✓, r
APPLICATION} FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Date_ 1'x)
. .K ,
5= Permit No.
Fee'$
^' . ..Application is hereby made to the City of Cupertino fora Permit;tn install electritAl'
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 Eldctiicat'COd`e of the
V• City of Cupertino, and all other laws applicable thereto.
f v` Use of Premises �— %n-•ar nLri
t a Owner/-+ -1�'k- Address 7. i .r.+ �. i!>._�. Z.,
inBy h,n f�<Ae, Address J •� / -
CONTRACTOR, AGENT
q / Approve ' i - LL4,_.. 1-
(.. Phone: EGEC[RIUL INSPEG7.01 1
NEW RPL FEES
A
Size Service Conduit-----4 Outlets --- AI--- ----------
-3/----------Number of 0
MSW
Size Service Wires.....A-.1............Numbe; of Switches......_........ -- ........... .
. .
Size Service Switch--- of Receptacles............ . . . ......
Size Sub Feed Conduit................_Number of Fixtures_.............._ -
.......... ..
Size Sub Feed
Wires---_...............Ranges------- ------ KW.............
Number of Circuits--------------- Oven ----- ....... KW-------------- ---------- ---------- --Y13
I
Number of Meters:........................Signs.......... Transformers........ .......... .......... ..............
Misc.........
......:............-1-...... -----Dryers.-I........ ......................... .......... .......... :7 ----
Motors......1------------ HP------ ............. Phase.................... Permit Fee $1.00
Motors................ HP.............. ..... Phase---------------------
Motors......... HP----y' ----- Phase.................... H P Charge----...----._. ............--I
TOTAL US
REFCO)%q INSPECTION APP�Wy#.�
• Rough Wiring. 2.1............ - --------- Fixtures ----- - ----
NSP. OR
Finish Wiringf/x)/ q— , 19--------'r otors .41.44 ...... N 'T
...... .... , " V
GATE I..P.CTOR
Final ... --------
DATE 4INSPECTOR
T TICE coPly
�1
N�
ELECTRIC, SERVI E OFFICE
INSP
BUILDING ECTOR',S OFFICE
CITY OF CUPERTINO
.......... ............. 6**.
You are hereby.autriz d Wnnect the F��, IC service for
Owner or Te 4��551--- ---- .............
At
... ........
No. of Wires ... Size of Switch .. . iZ
..Motor Load..,.,:..,.r..;_>............ Voltage
— la..... .. z�� m...... ....... Phase..... ------------------------------
Beating Load ........................ K. W- ----- --
------ ----------------- Voltage'._..........----..............
Light --------------110 ....A�'....New Service
No. of Meters ...il—.......) ....v....New .._.......Reconnect ................
No. of Add. Meters .......... Heat ..............220 _v-------Three Wire ..........._...._Move Service ...------
�Power .............;. e ter............
104 1/60.500 ELECTRICAL INSPECTOR
00