182 (2) NO. ST LOT NO. �
2155 APPL'ICATIOV;. FOR ELECTRICAL PERMIT
y� OF CUPERTINO
Date r Permit No.
Fec 9.—
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring aGaYfi%res GUPWTI 1,�Oreverse side hereof, and agrees to install said
rb wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premi
v
a Owner / w 6,A'ddress �'
By Address �.r'aar�/��J .•F'-l`�r–�
CONTRACTOR, AGENT '
Approved
Phone' ELECrRI L INSPECrox hi
NEW RPL n FEES
Size Service Conduit../.....1!t-----Number of Outlets------------------ --/-?. .......... ...
Size Service Wires__-��---- Number of Switches....-_.._----- -%.3--- ---------- ---
Size Service Switch._. .........Number of Receptacles_.......... z�_ -- -------
Size Sub Feed Conduit..................Number of Fixtures.................. /2... .......... ./'
Size Sub Feed Wires------------------ Ranges........Z----- KW-.--..-..-.-- ----..... .......... .
Number of Circuits..--------.... Oven ..../----------------- KW.............. .......... ..........
Number of Meters......1...............Signs.......... Transformers........ ....------ ---------- --------------
Misc....-------..............`--------...
-------------
Misc---------------------------------------I--------13l7ers---------------------------------------- ---------- ---------- ---------
/^
-------- ---
Motors.......;I ..... Phase Phase-.-----..._.-.---- Permit Permit Fee $607
Motors.................... HP/................. Phase--------------------
Motors........... ..... HP.................... Phase-------------------- H P Charge---------------- ........S_
TOTAL FEES
JN5PECTION APPR VALS
Rough Wiring Fixtures - _//- -e
.....I/.. ------------
....
IR w
_YE SPL
.... ........
Motors ---- .... ..... ...
Finish Wiring tP 7
TOR OR
..............
Final ..... ...... XCTOR
.? DATI
ELECTRIC SERVICE NOTIdE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.............................
To
You are hereby auth ied to connect lectric service for
Owner or Tenant .... .M..
At .......
............. . .......... .........
No. of Wires --1.9............... Size of Wires -- --- ----- ...
Size of Switch
Motor Load ..........................
Voltage ----- -------------------------- Phase ....................................
HeatingLoad ........................ K. W. - - ---- - --------------------- Voltage ................................
Light ..............1 t0 ._(:.........New Service ...........Reconnect ................
No. of Meters ... /----- ....
No. of Add. Meter Heat ................220 ----- -_.Three Wire ..................Move Service ..........
�Power .............. Three Phase...----........._Move Meter ............
104 6/59-250 91�ELECTRICAL INSPECTOR