113 (2) NO. STREET LOT NO.
2154
APPLICATIONF R ELECTRICAL PERMIT
a _ C F CUPERTINO
Date 195 Permit No.
jj r.a 9 0
Fee $
Zj Application is hereby made to the City of Cupertino for a permit to Install electrical
wiring and/or fixtures as listed•on•thefreverse 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 Premicpg
a
:a Owner 21 Address " 0 v
� By � Address ��///i.�-�✓ -�`-d—e—
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL INSPECTM
. . . I NEW RPL - FEES
Size Service Conduit../._'f. 4......Number of Outlets----n------------ --/�-- ---------- --
Size Service Wires.....31- ....... umber of Switches---------------- -/�--- ---------- -13-6...
Size Service Switch----- ---------Number of Receptacles.._........ .'. -- ---------- --41.1...
/_-�e-
-----
Size Sub Feed Conduit------------------Number of Fixtures-.-----------L... A -------- -----I
Size Sub Feed Wires...................Ranges..... ........ KW---.----.-_.- ---------- ---------- --
Number of Circuits---------------_-- Oven I.......... KW-------------- ---------- ---------- ---P
Number of Meters..---/_---------------Signs----.---- Transformers..----- ---------- ----------- ---- .........
Misr--------------- ryers---------------------------------------- --------- .......... ..............
Motors..... Phase------------------- 77
Fee' $1.6�
Motors..... P P/-
.............. ------------------ Phase------------_-.-.
Motors.................... HP-------------------- Phase.................... H P Charge--------------- ........... .-
TOTAL-FEES
......... ..TOTALFEE
�C
,C INSPECTION APP 0 A
�g
............ Fixtures L --'-----.....
ATF
Wiring -- -- --
AT
kyl! ;rc" T TOR
g otors X------ - ............
Finish Wiling PC _R TOR
T -.11—OR
Final DATE......... :.0-.......T .R
ELECTRIC SERVIJE I'jQTICE OFMCE,
Copy
BUILDING INSPECT R' OFFICE
CITY OF CUPERTl O
- - --- ---- 195./
To
You are hereby authggized to connect t11 Electric service for
Owner or Tenant ... ... ............ .. ....... .. .
At .... .. -------
........ .... S
No. of Wires ---- .................. Size of Wires .... -11.......... Size of Switch .
1410
MotorLoad ............................ Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
)
Light ..............110 ---- New Service .....±77�.....Reconnect ................
No. of Meters ..... ...........
Heat ................220 ........Three Wire ..................Move Service ..........
N,. of Add. Meters ..........�Power .............. Three Phase................Move Meter............
---- . . ........ ...... ---- ...
104 6/59-250 ELECTRICAL LINSPECTOR