524 (2) / d 4-7 D'RM1' y
NO. STREF, LOT No.
APPLICATION FOR ELECTRICAL PERMIT
j�` �C� ,OF CUPERTINO
Date '' 9 95-7L Permit No. d o�
Fce h / O
App�li±caTtio�yt� irereby, a�re ttf 6 y ofJ,:, e n fpermit to install electrical
wiring l449/Vr fiktures�ai'liFAT, � h eo nd agrees to install said
wiring and/or fixtures•in a d tn oftheElectrical Code 'of the
City of Cupertino, anpb%e thereto.'
' �fJ
Use of Premises
a Owner ` ✓ �'w'��+ Address �f� �� Fd e4� r �—AP
ro '" By Address �.i �`0 n f d" M _ �•
CONTRACTOR, AGENT /J,
. Approved
Phone: ELECTRICAL INSPRCMR
NEW RPL FEES
Size Service Conduit------- -'I........Number'of Out1'et5.........
Size Service Wires.--------- -------Number of Switches----------------- -- 60
....... ...:------ --------------
Size Service Switch......-40A----Number of Receptacles............ .. . . .......... ......x-14--p
Size Sub Feed Conduit..................Numbei of Fixtures.................. ...1..0-- -- ------- -
Size Sub Feed Wires:.................:.Ranges..............,- KW:------------- -----:---- ---------- --------------
Number of Circuits................... Oven -----------.. KW.----..:...... ......I... ..........
-----------
J.
Number of Meters......-....1.......t--,Signs.........' Transformers----:--- ---------- --------- .........
Misc------------------------------------:...........Dryers------------- t.._..........-------....: ..... -)---- -- ------ ----
Motors.......LY..._..... HP-"f R6�..... Phase.....................
Motors.................... HP---.------------..., Phase-------------------- Permit.Fee $ .00
Motors-------------------- HP'..._.........._... Phase-------------------- H P Charge----------------L. f A
TOTAL
harge----------------
TOTAL FEES I—0i i
COP IDISPECTION APPROVALS
Rough Wiring ............. - -------- Fixtures ........... ............................
INSPECTOR DATE INSPECTOR
Finish Wiring ...:-..:.-----.f..:-, Motors -----1-
PAT IK INSPECTOR
Final
DATE INSPECTOR
ELECTRIC SERVICE rtbfiCE ;orrice .
BUILDING INSPECTOR'S OFFICE COPi'
P CITY OF CUPERTINO t
. . ... .�<X..._ :: . . .. . --- ., 1960..
You are hereby au ized to connect the ELECTRIC service for
Owner or Tenant .----- ).�tt.Q.... �_'I1. :.}.t.: ._-- ---......
2.......,, .-- -
77777
..
No. of Wires ..:.5 ..... Size of Wtres tY .. Size of Switch/ /� 4,V'.
Motor Load ............................ Voltage .._.............. ------------- Phase---...._......._..._.. ..........
Heating Load ----------------------- K. W...._:------_- ------------------ Voltage ............. ....
s Light ......tY.....110 ...._ New Service_..._•.........Reconnect
No. of Meters .....�............ , -
Heat ...........:..220 .................Three V( re ..... ...:......Move Service ......._.
No. of Add. Meters .......... ��
Power ............. „ - "Nee PI s ..............._.Move Meter ............
-,
:.......: ...... .il ._t' 5 . . .r:-------.--
104 1/60-s0o ELECTRICAL INSPECTO]t