645 (2) rF s =� k•/ f t r ..
STREET (-, LOT NO. '
' APPLICATION .FOR ELECTRICAL PERMIT , '.
�CITY OF CUPERTINO
1910? Permit No.
V. / r5'
Fee :n /-Q Jam•c ::•.'
Application is hereby made to the City of Cupertino fora permit to install electrical
wiring and/or fixtures as listed.on,the reverse side hereof, and agrees lto 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. _
y Use of Premmii
Va Owner �l dress
u�
y
Z By / Addrjzsjs
CONTRACTOR, AGENT IV ..AppCO
phone:_'�J uI —O,�:P:S , ELnCTRIUL INSPECTOR /��
A NEW � RPL FEES
it r+. 'f . .
S¢e,Service ConduiE:.. - Number of � u `" "-
..
Size Service.Wires...:- `..L..-._Numbek of Switches::.--.-.-.--- �,,,:':.-- ---.._.:.L.ti....--.,'i.,'„-';
Size Service Switch.:._/..�rR....Number of"Receptacles............ �7--r- ....__ .
r.
Size Bub Peed Conduit---- N
. umber:of Fixt _
ures-...- .-......... ,L1_L---.....-- .�/W..
Size Sub Feed Wires:--:-...---------Ranges.--- ....... KW-:..--r------ - ----- -------- ----
Number
--fNumber of Circuits.......... .=-. Oven'- f.--...... KW.---- _...::,.
Number of Meters- .,::::=.- r :-Signs:- -: Transformers........ .:........
�Misc..----------- ._.....'----- ----`-------Dryers.... ---------.... ............:. ---------- -.......:- - .5..----
Motors-------------------- HP------------.-.. ---- Phase------ -' Permit Fee $1.00-
Motors
1.00-
Motors....:'-:�---`--'--IHP,.-: '---`--.--.. Phase---------.----------
M 6tors
------Motors..i,e L7---------HP_A......---...... Phase-------------------- H P Charge....... ----- -
TOTAL FEES - l°—✓`ate
I ON
AP
PROV
Fixt �L
�
Rou8h Wirin � - }
t1 SR CTOR
Finish Wiring . !. � -% _....... otors --------.
pAT[ v INSPECTOR - ryA [ 1 SPCCTOR
.. Final -----.,. �t..i- /.r—.. --..
DATE elINSPECTOR
OF�,,3 ELECTRIC.vSE�NCE NOTICE �� ,���°coeY6n�
BUILDING INSPECTOR'S OFFICE '' � '•.
' •• .CITY OF CUPERTINO'"•
rr
. ` . ..._ ................ ....r 4y
To
You are hereby autho ' e oaonnect t ECTRIC service for
Owner'or.Tenant ._.�._.. C/
...
At... , 34U.:
• ,
No. of Wires...:..��..--.':. Size of Wires•....::.,....::. Size of Switch
Motor Load - .......--....: ..... Voltage ................................ Phase
Heating Load ---------------------- K. W. ............---....... Voltage --------- ............. <'c
Light._...........110 .:..`__.New Sen-ice.. ......Reconnect ._:.._._.....
No. of Meters ...�..........
..
No. of Add:Meters
Heat ..............220 .Jr. ._..Three Wire -----............ Service -
move..........
Power -------------- `^} rrce Phase...................Move Meter.............
104 1/60-500 ELECTRICAL•:INSPECTOR