118 (4) NO. STREET LOT NO.
2 X 5 4 APPLICFOR ELECTRICAL PERMIT
µ
TY-.OF CUPERTINO
p�9 t
Date £��N •� 1.195; ; t t Permit No. Il
/ Fce $ ��
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
Y! 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 Premise
c
a Owner A&42 -a aAddress • D ``-�'`e
Address •�I�ISGFi i2/< .-� L
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service Conduit-- ------ -i/.......Number of Outlets------------------ -/:3... .......... .......
Size Service Wires...t ......Number of Switches---------------- - --- ---------- ---
Size Service Switch......... ...._..Number of Receptacles............ .2. ---- ---------- -
Size Sub Feed Conduit------------------Number of Fixtures------------------ -�A--- ---------
Size Sub Feed Wires--------------------Ranges....../........ KW-------------- ---------- ---------- ------;7.-.
Number of Circuits------------------- Oven ...I.......... KW.........--.-- --------- --........ .....17. ..
......... ....17.
Number of Meters.....I................Signs........,, Transformers........
Misc----------------- Dryers............................ [
Motors.......IZL�--w Phase--------------------
Motors.................... Mff...... Phase.................... PeIrunit Fee $1.06,
Motors-------------------- HP-------------...... Phase-------------------- H P Charge.._............ ...---
TOTAL FEES
0 INSPECTION APPROV, LS
Rough Wiring
OR
Finish Wiring , D-- - --- . ......... A;P,... .... .... .................
otors
Far
�fF� ry OR
INSPECTOR
tFinal . ....... ...........
DATE INSPECTOR
ELECTRIC SERVId 40TICE OFFICE
COPY
BUILIPINi-, INSPFCTOR 'S�bFFICE
OCITY OF C6PERTNb
........................ 1g--.-47
To You are hereby authorized to connect?Electric service for
Owner or Tenant .....
.....................
At -A�Z:�-
max=.....
No. of Wires . .....&............ Size of Wires .......... Size of Switch
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light ..............110 ---v.......New Service ................Reconnect
'-'go ----- ................
No. of Metcrs ....../...........
Heat ......u _......Three--&�--
..........._.....Move
Three Wire Service ..........
No. of Add. Meters ..........
Power ........... Three- Phase ............... Move Meter-----*......
.............................
104 6/59-250 ELECTRICAL INSPECTOR