525 (2) -P
NO. STFEET - COT NO. I
APPLICATION FOR' ELECTRICAL PERMIT
CITY OF CUPERTINO -
G
L Date � � - , 1 e it No. S�1�
INOV 19 195'9 Fee $
Application is hereby made to t ertmo for a permit to install electrical,
wiring ani(�'�/�!� x�t/u�r� as I' t Ise side hereof, and agrees to install said
wiring anU�t I.x s ' the provisions of the ElectricalTCode
-of the
4 City of Cupertino; an ll, laws applicablethereto.
N,
u Use of�Premi<p<
a Owner Address 10 3' t+Clir.,A.eti 1�
14 By Y�rA� f`�ir k� �_ _ Address 7 V
CONTRACTOR, AGENT 1
-Approved
Phone: " ELECTRICAL INSPECTOR
NEW - EEL FEES
ti
D Ci�
Size Service Conduit ---41.......Number of Outlets..... .... ................... 1.06
... .......
Size Service Wires......_3 '........Number of Switches---------------- ---I..(.!.. .......... ........1 0....
Size Service Switch....W-0-A.....Number of Receptacles------------ ---1%,- -- ------ - -
Size Sub Feed Conduit------------------Number of Fixtures------------------ ---16--- ---------- ---
Size Sub Feed Wires--------------------Ranges........
....... KW-------------- ---------- ---------- ---------------
Number of Circuits....-"- '-" �Oven ...... ......:. KW......------- ------I - -------- -------7.1
Number of Meters............I..........Sign's.......... Transformers-.,----- --------- -----------
...................Drye rs-------V__�-------- --- ---------- ----
Misc_------------------- --------- - ------
Motors---------Li--------- HP...eklA!�n--- Phase----------------- Permit Fee $1.00
Mot9rs-------------------- HP...!---------------- Phase-------------------
Motors..._..... .. ... HP------:....... ----- Phase.................... H P Charge........,....... .....
TOTAL FEES—
CO _�NSPECTION APPROVALS
8 -------- ---- -------------- -- ---
Rough Wiring .. .. . .... Fixtures
77
DATE INSPECTOR
ItDATE.... INSPECTOR
Finish Wiring --
............. - ------- .............. otorS ..
....... .I. ...................
.......
DATE. INSPECTOR DATE INSPECTOR
al -------*-------- ------------
DATE --------
-INSPECTOR