2109 (2) NO. '.STREET \ ^SLOT No.
A
APPLICATIOA ELECTRICAL_,;PERMIT
4,1,Cj;� 110,f, 4M. 0F PERT1N0
r� DPermit No.
t'h t^- pl Vtllr x.11 t n."- Fee $ 35
Application•is hereby made to the City of Cupertino for a permit to install electrical
y w
wiringaa,,,' "fixtures as listed on'the.reverse' side hereof, and agrees to install said
' wrrmg and%or fixtures in accordance with the provisions of the Electrical,Code of the
� ty�of Cupertino wand all other laws applicable thereto.
rW.�
Use'of PremigA '
7 Owner /AJ Address./°iB(w� �il2t�LGnSFn
By Q�� W _ Address
CONTRACTOR, AGENT
Approve
n.
Phone:/ � ELECMCAL.INSPECrOl
NEW, RPL..
Size Service ............ .
......... ...............
-:5
Size Servi&Wires--- " -- --Number4mf Switch
' l ---*.----- ----�-(-- ----
- 3- - .....
------ - * .
Size Service SwiFch... :..:..Nu Recep ales........:... ------ - - k- -
--
Size Sub Feed Conduit..................Number of Fires.................. . .......... .
Size Sub Feed Wires.....................Ranges---------------- KW-------------- ---------- ---------- -------------
Number of Circuits---------......... Oven ...1......... KW------------- ---------- ---------- -----
Number of Meters........................Signs.......... Transformers........ .......... .......... ...............
Misc...................... -------------- --------Dryers---.r------------------------------/---------------------------------- ---------- ---------- ------7r
Motors.....-...Lf........ Phase-------------------- Permit Fee $1.00
Motors.................... HP----------......... 'Phase--------------------
Motors.................... HP------------------ - Phase-------------------- H P barge-----------------
TOT#, EE!
RECORD ON AP
Wirin . JFixtures
- --- -------..
ECTOR
------
PECTOR
� .Finish Wiring .. : D..1:.. .. Motors
S ---- . . .......
PATE T I "OT.
Final ..... L ..................
INSPECTOR
OFFICE COPY '$ x•� + `+ .'xi�+vT ,�i
"� NELECTRIC SER�VIC&jNOTICE
BUILDING"INSPECTOR=S OFFICHi;:
..•CITY :60'CUPE, R�VINO
4
To I
.
You are hereby authoried to conned elect&aht" r ic'eY r '
Owner or Tenant ...............:. - '
.. ......... . ......
At ....... ...-�:. s RR
'�1� ---- ---------------------------
No.
--------- --------------
No. of Wires .......Z........... Size of Wires -.._ Size-of SwitchQc
Motor Load .......................... Voltage . ................. Phase -
Heating Load.....................:... K. W. ............................... ... Voltage --- ----------------------
l�. (Light..---...._f. 11 o...../._ New Service.,...�:c Reconnect..._........._..
No. of Meters..-.-.---..._..._1 :-.
(1l Heat...---- 220.---------.: ree Wi _ -.'..��"
No.of Add.Meters.......---..
Power.............:. hree Ph e.---
104 1/6$•500 EUCTa3CA1 INSPECTOR