114 (2) NO. 7 T !. LOS NO. z
2154
AP CATION FOR ELECTRICAL PERMIT
ChTY�O CUPERTINO
d
/ e
Date 19�. Permit No.
F c e $ C/75,0
Application is hereby made to the City of Cupertino for a permit to install electrical
1 wiring and/or fixtures as listed on th`�Vie�erse side hereof, and agrees to install said
'F wiring and/or fixtures in accordance WF18i the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
u Use of Prreemi�
;..a Owner �"e/%/ `tea-/��L2P�' ,r-r.'r1��Cddress .li•2.4"
ro By Aad �� %/c�� a Address
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL INSPECT01
NEW RPL -CJS
Size Service Conduit. .........Number of Outlets...................I WiV------*- -----
Size Service Wires..... _.........Number of Switches._.. ... ---- ---------
Size Service Switch..._ .._........Number of Receptacles__. ... . .......... .
Size Sub Feed Conduit------------------Number of Fixtures.._...._........ io----- ---------- --
Size Sub Feed Wires....................Ranges.../.......... KW.......------ ---------- ---------- ------
Oven -/.......... KW......
Number of Circuits----------------- -------- -------- - ----*----- ----;,........
Number of Meters--- ..................Signs.......... Transformers-------- ---------- ---------- --------------
Misc----- ..........7------ Dryers...----- -------....-----------..... ..-------- I.......... ..........
Motors-------------.-,,HP�4.i::;::0!;:.... Phase.................... Permit Fee $1.00
Motors........... . ...— H -------------------- Phase....................
Motors-------------------- HP-------------------- Phase--------- ---------- H,P Charge_--._-------- -I--,,*-------
TOTAL FEES
C�co INSPECTION CO
Jt
F� APPR ,L
Fixtures
'es
- ------------
Rough Wiring - -------- 77
CTOR
CIO"
-- - .---'------....-.Wiring otors ... ............
INSPECTOR 1�k/yl TOR
Final
.�T f--""CTOR
44h
ELECTRIC SERVICE NOTR ' E
OFFIC
COPY
BUILDING INSPECTOR'S OFFICE
,
CITY OF CUPERTINO 1
ip
.... . .. .....4..........................
To You are hereby authpTized to conne( he Electric service for
Owner or Tenant -4✓1.
. ...............................
... ..... ........
At .......... . ..... .
No. of Wires ....&............... Size of Wires .....�........... Size of Switch
MotorLoad ---- ....................... Voltage ................................ Phase ....................................
HeatingLoad ----------------------- K. W. .................................. Voltage ................................
Light
..............110
._! ........New
..!�.------New Service .__...Reconnect ................
No. of Meters ..._/.---------
N,,. 4 Add. Meters .......... Heat ....120 ...`.._....Three Three Wire ..................Move Service ..........
Power .............. Three Phase....._...........Move Meter ........
104 6/59-250
ELECTRICAL INSPECTOR