1201 (2) NO. v STREET LOT NO.
APPLICA�TION� FO,,,R ELECTRICAL PERMIT
—I UPERTINO _ € ;
Date 19 - Permit No. I
FCC
ApplicatioeJAs otre�j a pthe�$po�f/�Cupertino for a permit to install electrical
wiring and/or ix 1 �91d�altlicl[gYgrse side hereof, and agrees to install said"'---
Mi wiring and/or fixtures in accordance with the provisions of the Electrical Code'of the
l`n City of Cupertino,- and all other laws applicable thereto.. • .• .
Use of Premises_J�'�'✓ =
Owner Address 00
ByVq�a Address � ill ' ett�o
C NT0.ACTOA, AGENT
1 a G f Approve
GI CHCCRIui INHPH
NEW RPL FEES
Size Service Conduit......(--f:.------Number of Outlets-.----------------- A ?—
...... ........71;.
Size Service Wires--- -4-----------Number of Switches------- ........ . --- ---------- --I.
Size Service Switch_AG-11----Number of Receptacles------------ 2--,7".. ....""""-. ..... Z_
.........
Size Sub Feed Conduit------------------Number.of Fixtures--------------
- ------- ---- ---
7
Size Sub reed Wires--------------------Ranges................. KW-------------- ---------- ---------- ---------
Number of Circuits------------------ Oven -------------- KW----'--------
- ---------- --------- ----------
Ndmbe r of Meters:-... ---------- Tratisforme
.............. .
misc..' ----------------------------------Dryers------------------------------ ---
-- --- ------------
`motors.........
r
mot -------- HPPA_lcccP,__ Phase......................
Motors-------------------- HP. ------ Phase ...... . ... ..
Permit-F,66,$1.00
_:_,.Mobors-------------------- HP.................... Phase.............. ..... H P Chugi------------
TOTAL FEES' /.(j
CONSPECTION APPROVALS'
MW........ Fixtures --------- I------- -------------- ------
OATI INSPECTORDATE I KIP El TOR
'illilk
Finish Wirt' .......... Motors -------------
ng ........... .... ....... .........
DATE INSPECTOR
�iaal --- ------------
%NSPUTOR
T
ELECTRIC ,SERVICE ;NOTICE OFFICE '
�/..
BUILDING INSPECTOR'S OFFICE' - "'� OXY,
CITY OP CUPERTINO
,..- /�
.......... ----.. ---..-� //�--.. 196.:Rr.��--
: You are.hereby aut to co nett the EL CTRIC service for -
u
I. Owner or Tenant ....
At...
/ 9 ..... ........... : .. -" _
K . .
�j
- No. of Wires . ............. Size of Wires:�T.......... Size 6f'Switch/�Q �
Motor Load ..............
Voltage ........ .. .:.. ........... Phase .........
Heating Load ........................ K. W. .......... Voltage --- - -
V .......
.110 __------......N
Light .......
LiR _.... ew Service.� ........Reconnect ................
No. of Meters ....../_....... -
(Heat ..............220 ..� :..._Three Wire ....._..:...-....Move Service'-.'...-
No.of Add. Meters ....:..... -
Power .............. hreease ......:_........-Move Meter'-----------.
.. ee
104 1/60-5001, t EL CTRICAL INSPECTOR