144 (2) NO. sTR :T LOT NO.
2 'S- APxPL�CA 0 OR ELECTRICAL PERMIT
J ►,,, OF CUPERTINQ
Date __ %� 195/_ ' +RErmit No.
JP (RTINO Fee '
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
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
u Use of Premi
v �! �
V ! � .// / � c
a Owner Amoss
By` , r"-G` Address
CONTRACTOR, AGENT
Approved
Phone: ELEc..,
CrRI L INSPECMI '4,,
NEW RPL FEES
..Number of Outlets...... ...._
Size Service Conduit--1.1-.�---. ,1..:... .......... ....:. .......
Size Service Wires....., .....Number of Switches................. .yi^'.-- ---------- --/..........
Size Service Switch....--IA-)------Number of Receptacles............ . . . ..........
......
_.._?..
Size Sub Feed Conduit------------------Number of Fixtures.................. y:%.... .......... ..:r... ...,
Size Sub Feed,Wires.---..............Ranges......._/... KW------------ --------- ---------- --- ------
Number of Circuits-................. Oven -----/---•---- KW...... ...... .......... ......"........
i
Number of Meters....................Signs.......... Transformers.-------I--------- --------- .--.-----...
Misc.......................---------------------- ryers---........._.---------------------- --------- --------- ----`-..r..
Motors....... - HP .... Phase---------------- -•
d�""""' -- Permit Fee $1.00
Motors.................... HP_- --------------- Phase......-----------
Motors.................... HP-------------------- Phase----------------- H P Charge................ ..............
TOTAL FEES-
ORD OF INSPECTION APPRQ L
Rough Wiring . _ ..--..... Fixtures .. I� ---------
TO1r P.i
OR
(` OO
Finish Wiring; -- .�. ............ otors O T[ INSPECTOR roR
Final .--"--"--
TOR
ELECTRIC SERVICE M CE OCE
COPY
BUILDING INSPECTQR'S'. F F.
CITY OF CUPER'I IN
q
.. ........ . .......... �i......................... 19....dit•
To
You are hereby authorized to connect the Electric service for
Owner or Trnantbam :!
--�
. . Ar �... ................
At
...............
-
No. of Wires ......%Y........... Size of Wires .¢ ........... Size of Switch04.0
Motor Load Voltage ................................ Phase .......................t..:........
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light ..............110 ....v....
New Service ...._v...Reconnea ....,...-......
No. of Add. Meters ..........
No. of Meters.....Z.........
Heat ...............120 .A` .....Three Wire ..................Move Service ..........
Power.............. _Three Phase Meter............
S I1na 6/59.230 CTRCAL
INSPECTOR.