828 (2) NO+ STREET. LOT NO. .
°*APPLICATION1 FOR ELECTRICAL PERMIT
axr ICI�'Y OF CUPERTINO
Date h/ +'��INC, 19� Permit No.
Fee S 5
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. -
V Use of Premi
c �
V /
a Owner '"f — i ddress n Vie— Z'
;9 By '/� ' .�do Address
CONTRACTOR, AGENT A
_ Approved
q I�Phone- -1 4 1 S ELECTRICAL NEPECTDl
NEW RPL FEES
Size Service Conduit...�,� ......---Number of Outlets.................. ...:2�. -;;..--... .-:j-.�..-.
A-2 /.. I L
Size Service.Wires.----_ --.....Number of Switches................ -.-.�_.. .......:.. ........
t
Size Service Switch-------IA!! --..Number of Receptacles------------ -J/.1... --...----- :>_�r-----
Size Sub Feed Conduit------------------Number of Fixtures...-..----....--.. -�Z "; t,
. . ...... ..............
Size Sub Feed Wires_.................Ranges.......1..--.. KW..........-... __.----- --
-- �----
Number of Circuits- .. .... Oven -_�-........ KW-------- - - -- -- --/.,.,..---
Number of Meters........................Signs.......... Transformers-...---- ---....... .-..------ ..............
Misc--------------------------------.......---....Dryers.--�.......-..-.._..._....._-.---- -
Motors.................... HP.------ ------.----- Phase.......------....... Permit Fee $1.00
Motors -- HP....--�f--/...... Phase------------------ i l
Motors..._-'?.----..... HP(:J/111AZ ...... Phase--------------- H P Charge---------------- --------------
TOTAL
--------- -
TOTAL FEES
��� RkCO FI INSPECTION APPROVALS
Rough Wiring/.--....7..... .... ...... . Fixtures .. -- -
-------- �------
OATS INSPECTOR DATE INSPECTOR
Finish Wiring ....... .. . ...-- - .
- ------ ---... Fi tors _.-----...--- ----...-- :.----'-....---
DAT[ INSPECTOR �y l
.... -I...... . . . .........
DATE INSPECTOR
ELECTRIC SERVICE, NOTICE OFFICE
BUILDING 'INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
C9�
-- --------------- 196-
---------- ............. ......
---- --- ....... ... ...
TO
You are hereby orized too Qtn�'C't thq41n!LECTR19 service or
4�' I
Owner or Te
n ....
.... ........ .. ... .
Tenant -410 & r
At._.l Q..W.4... ...... ........ .............................
No. of Wires .....Z............. Size of Wires ... Size of Switch .1012Aoy
MotorLoad ............................ Voltage -------------------------------- Phase....................................I
Heating Load ........................ K,,.//W
- --------------------------------- Voltage ------------------------ -------
Light'-.V�110 .......!...New Service..................Reconnect ----------------
No. of Meters ....................
........ ....
Heat ----------- . ........... ...Three ire .. .............Move Service ..........
No. of Add. Meters .......... v.
Ph si ......_..._Move
-016�
Power ......... Thre Ph sV-1 .............Move Meter ............
I
........... ....... ... ...... . .. .. - - ---------
104 1/60-500 ELECTRICAL INSPE Of