195 (2) NO. STR 'T l LOT NO." it
2155 APPLICATION FOR ELE�'iR CALQPERMIT
OF CIDPER IN .
\
Date �`
. 95�. Permit No.
Fee S S�
'141Application is hereby made to the City of Cupertino for a permit to install electrical
% witinC#T�Yor�eturOUPEsRTM&e reverse side hereof, and agrees to 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.
`Use of Premi<P �e�+�
c
V
;:i Owner Efdfess �d
V
By Address
CONTRACTOR, AGENT _T
Approved
Phone: ELECTRICAL INSPECTM
NEW PEES
Size Service Conduit./.-_. .........Number of Outlets------------------ - ��I-- ---------- -- -----
Size Service Wires..3#F-------------Number of Switches_.............. -1-3... .......... .k�-O---
Size Service Switch-----/.!?9..........Number of Receptacles............ .2-4.. .......... .
Size Sub Feed Conduit..................Number of Fixtures.................. Ad--- ---:......
Size Sub Feed Wires....................Ranges--------/..... KW---"-....... ---------- ---------- -----74-.
Number of Circuits.----------------- Oven -----!------- -KW-------------- ---------- ---------- ----7 ..
Number of Meters..../.................Signs.........- Transformers...----. ..-......- .......... ..............
ryers------------------------------- '[:�:::MV: ---------- --------------
Misc................ .........
Motors....... Phase------------------- Permit Fee $600
---- ------- --- --------------
Motors.................... HP-------------------- Phase......
Motors.................... HP.................... Phase.................... H P Charge.......---..... ..............
TOTAL FEES
C F 4WVCTION APPxtures Y LS
Rough Wiring -- ---------
Fi
Motors
..
DA K INSPtcTOR T
Final..........
----f
Finish ?
DATI IRIR
ICTOR
4W-
EftCTR�C SERVICE NOTICE OFFICE
BUILPIN,G INSPECTOR'S OFFICE COPY
CITY OF'CUPERTINO
-----------I...... .a. 19"T
... ...... ..
To You are hereby autbpK,2 connect Electric Electri"2,,ce for
Owner or Te
...................
At ....../21;?.x417 4�//-220,
No. of Wires _J............... Size:7 i r tes �t .......... -Size of Switch .-m-oh?p
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters . Light ...........110 ... .....New Service ---`.......Reconnect ................
.......... H.
No. of Add. M&M _....... 't ................220 _✓........Three Wire ......._.........Move Service ..........
111 Power .............. '4 'hr ""'I
Meter............
t04 6/59.250 ELECTRICAL R