190 (2) .. O. STT�'1l LOT NO. l�
APPLI1Q FOR ELECTRICAL PERMIT
•� ACUPERTINO
Date I. YJ " 1959 - 5 Permit No. XW
Fcc $�/7 ^
Appliga ' s y ep{ip(o � hof Cupertino for a permit to install electrical
wiring arYd/55r''fix4'��res as��((iste`d on flie�Jreverse side hereof, and agrees to install said
,O wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
J
u` Use of Premi— C-fir
v Owner
By Address Oar at r r( d r'-r• L
CONTRACTOR, AGENT /
Approved
Phone: ELECTRICAL rxsrEeroa `ALL
NEW RPL 'FEES.
Size Service Conduit--- .........`/....Number of Outlets.................. .. ------ --
Size Service Wires.... ---------Number of Switches....-------._.. . -- ---------- _-/.?a---
Size Service Switch.... ............Number of Receptacles............ -24(---- ----------
Size Sub Feed Conduit..................Number of Fixtures............------ 1,2z_. .......... ...
Size Sub Feed Wires--------------....Ranges.....!........ KW-------------- ----f .. .......... -../__
Number of Circuits---------.-...... Oven __/.......... KW--------- -- ---------- ---------- ----J;'....
Number of Meters....!..................Signs_------- Transformers
---------- *-------------
Misc--------------- Dryers-------------------------------- -. ...... ............r...
Motors....._.i ---- Phase------------------- Permit Fee $e"00
..... ----
Motors.................... HP�-------------- Phase..........------
Motors-------------------- HP.................... Phase-------------------- H P Charge---------..-. --------------
TOTAL FEES
C F a4KCTION APP
Rough Wiring.. �. .. ... ...... Fixtures
.YJ
100�
TE nc OR E 4..VCTOR
Finish Wiring ............ rs ......... .............
CTOR
---- ------
T TOR
tFmao ... I.......... .. . ....................
DAT INSPECTOR
ELECTRIC SERVICE NO,TI' E OFFICE
�
tt�� COPY� BUILDING INSPECTOR'S OFF E
/1� J CITY OF CUPERTINO
p
_L ��............................... 19J
To
You are herebtho ' d, o conned the-E'le ric service for
Ci
Owner or Tenant ..... . .. . ............ / ?e'
At ..... ._...............................................
No. of Wires ----- -- ----- ---- Size of Wires --------- Size of Switch
MotorLoad ............................ Voltage ----------------------------- Phase ....................................
HeatingLoad ------------------------ K. W. - --------- --------------- Voltage ................................
Light ...110 ...............New Service --------- Reconnect ................
No. of Meters ......._/.......
Heat ...__........220 _.----
...Three Wire ..................Move Service ..........
No. of Add. Meters ..........
Power ------------- Three Phase...... ..........Move Meter ............
104 6/59-250 ELECTRICAL INSPECTOR