869 (2) O. STREET ` LOT NO. .
APP&RE-ATION�FOR ELECTRICAL PERMIT
GO OF CUPERTINO
An
: •Da e. - 1944 Permit No.
rte` .f)rmade pee $ �� �
S"a
ppli'0 I• hereby' e 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
v
I
a Owner /?� � �y A Address `
By 1.1.1 �_ Address
/�O / CONTRACTOR, AGENT Approve
C Ph ne: R e.i. /}. �P' ELECTRICAL
�o-a i
NEW- RPL FEES
Size Service Conduit--- (...._..Number of Outlets................... ..... ....... .
Size Service Wires...-....0..Y......Number of Switches..._.......-...
.........I......!!.{..-..
Size Service Switch......./.ltA#-Number of Receptacles-.------ --- ------ ---
..........•.
Size Sub Feed Conduit------------------Number of Fixtures------------------
.I ........ ........ ............
Size Sub Feed Wires.._...............Ranges................ KW------.-.-- ---------- ----------
Number of Circuits..--------------- Oven ....I--------- -KW.............. .......... .......... ..../
Number of Meters........................Signs.......... Transformers........ .......... .......... ..............
Misc. .....Dryers. --------- ---------- ----
.......................................... - ------------ ------------ -- -------
Motors-------------------- HP.................... Phase - - ------ Pertnit' Fee $1.00
Motors................... HP............. Phase.................... -
Motors----- .......... Hr---------------- Phase.................... H P Charge.-------------- ---
TOTAL FEES—---------
C INSPECTION APPAJ
91P Fixtures -7� ... .......
RoughWiring// ---- .......... IN P
A J ) r
T
00
8
Finish Wiring . .. ..... Motors
.. ........ --7.....
PECTOR on
DAT
----IfFiotaol's.'4. DA
i
ELECTRIC $ERVICE NOTICE OFFtCS
7.COPY
.�'I✓ BUILDING INSPECTOR'S OFFICE•• r
/�f �a r� CITY OF CUPERTINO �r"''•
.........................y//.....-.................... 196Z.
TO
You are hereby authgz0d to•Mnnect the ELECTRIC service for
r
1 ,�.5•C�iO l/
i
0
Owner or Tenant .... .......::t.-:�!��b. ....-r---•---•--'.�lL!�...._:. • t.t'.1
No. of Wires ...�............ Size of Wires# ......... Size of Switch ._.2. •
MotorLoad............................ Voltage ................................ Phase........................
............
Heating Load K. W. .................................. Voltage ................................
f. ._,
Light..............i 10 _V... New$enimi�! Reconnect ..............
No.of Meters. � - •...`'
.. '•obi: ......
Heat ..._.........220 ................Three Wire .+..,..F,. Move Service ..........
No. of Add. Meters__
Power .............. h 'Phase._.`......... ...Move Meter............
........... ....................................................................
1a4,/6o-500 ELECTRICAL INSPECTOR