115 (2) ` I10(2_g'+ sTRE6 � LOT NO. �y ,
2154
APPL'1' Of1 FOR ELECTRICAL PERMIT
UT' OP;�CUPERTINO
19ii
Date yft �
Permit No.
Tree $ S�
Application is hereby made to the.City,gf�Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the sei,erse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
�T City of Cupertino, and all other laws applicable thereto.
V Use of Premi T
cuOwner ��/�
dress
4,
14 By CA129A .a Address
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL INEPECrM
NEW RPL FEES
Size Service Conduitl....A......Number of Outlets----- -- ---------- ---
Size Service Wires---17-A-7—...-.---Number of Switches.. ... .......... ...
Size Service Switch.../..11.A..........Number of Receptacles------------- -- --------
Size Sub Feed Conduit..................Number of Fixtures----------!_)
........4;!---- ---------- -7le......
Size Sub Feed Wires--------------_---Ranges..../--------- KW.............. - - _7,�;
- - ------- ---
Number of Circuits_-.-------------- Oven -1......... KW.....------ ---------- ---------- ------��!
Number of Meters.....J.................Signs.......... Transformers....`- ---------- ---------- ---***.....
Misc..........................---- Dryers---------------------------------------- ---------- ----------I...........
----- Phase--------------------
Motors.... 5T; ........... H Permit Fee $1.00
Motors.................... HP --------------- Phase--------------------
Motors.................... HP.... ............... Phase........ ........... H P Charge---------------- ----------
TOTAL FEES—1 2)
Ot INSPECTION APP A
Rough Wiring r, --- Fixt .........
T &TOR or CTOR
ors - - ----- ... .........
Finish Wiring ... TOR
CTOR
Final ---a . ........ - -----at...........
INSPECTOR
ELECTRIC SERVICE Ot oPPtcE'
BUILDING INSPECTOR'S P CL Col v
CITY OP CUPPRTI -
..... C2 � ........ ... ✓._................... 195.
To
You are hereby/authorized to connect the electric service for`��
Owner or Tenant ..L7!-� .... . .. tt
c'�''� .iYL'-'.nt .../_D._ .�'8. . 1 ��... < t. e............ ..................
No. of Wires ------ --------------- Size of Wires ...r.2-.......-.... Size of Switch ./[1.6.!71.:/l•
MotorLoad ..................... .... Voltage ......................... Phase....................................
HeatingLoad ........................ K. W. ................................:. Voltage ................................
No. of Meters. ght................. 11U....v...New Service.................. Reconnect..................
...../.........
t.................. 220...✓.....Three Wire................... Move Sewice..._.......
No. of Add, Meters............�H.
Power-r-.............. Three Phase................_ Move Meter..............
t04 2/59-250 ELECTRICAL INSPEC'T'OR