119 (2) 1 Y-
-• / .Gil G v.
NO. y STREET ♦ LOT NO. .
" APPLICATION FOIk, ELECTRICAL PERMIT
Gin;Oa,IPAVo
Date Al,%G "J 195. Permit No.
Fee $ 4
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the"re3erse 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 applica le thereto.
v Use of Premi -
c � ,9
a OwneAddress ,
By Address �A�ifJl�C B �—s.R
� CONTRACTOR, AGENT ��
Approved
Phone: ELHCTRIC/1L IV5PHC7tiR
NEW RPL -4EE5
Size Service Conduit.././/!/'#.....Number of Outlets------------------ ...J. ..........i....- ...-----
Size Service Wires_ /�G...........Number of Switches...._.......... ..... ......... ... ....
Size Service Switch.. ..............Number of Receptacles............ ._J"A.. ..........
e ,
Size Sub Feed Conduit..................Number of Fixtures.................. ... .......... .f-"..: ..
Size Sub Feed Wires....................Ranges_....../..... KW-------------- ---------- - �i .^..�.
Number of Circuits...-------------- Oven ----/........ KW------...... .......... .
Number of Meters.....1................Signs.......... Transformers........ -_....... ...L.........
Misc-------------------------- --------- ----.. ryer-----------------------------------------
-------- -------- ........-- ----... ...--- ....
Motors------- _... HP...- ---.......... Phase - -- J
Permit Fee $1.00
Motors.................... HP .................. Phase ----
Motors------- HP ---.... Phase-------- ........ H P Charge--- ------.. .._....._--
TOTAL FEES
RER NSPECTION APP1;0}'�1
Rough Wiring J . .....KS f Fixtures //77nn////.. ... - --- .
TE
� / CTEg� ..!P.I
TOR
Finish Wiring -- .....-. otors ..(� I, ..... ............
O TC INCPCCTOR - - --- ----
' KTOR
Final .-- �- -......... -...-'---...
OST[ TO.
OFFICE
ELECTRIC SER)/fCE NOTJ�GE cop),
BUILDING INS;�'rECTOR'S ( ,.�FICP "
i'mi
CITY OP�PERTII O p
....... .............4. ............. 195./..
TO
You are hereby a5h9rized to connect the electric ser ace for_
/� }Q
Owner or Tenant . ._ �� S.rU" . .•v!w?'!:'�. �Ce :..... .........
At .../l 1.3 .....1. . . .rte.........._. w- . .... - - - ............
No. of Wires ................ Size of Wires ....'C.r:.._......... Size of Switch .fvIP4
I
Motor Load ............................ Voltage ................................ Phase. _----------------
HeatingLoad ........................ K. W. ................................ Voltage -------- ......................
y;
No. of Dieters'... Light.....:........... 11 U............New Service.................. Reconnect..................
...�........._�
/Heat.....--------
No. of Add. Meters.......... .. 22U...........:Three Wire_...........__. Move Service............
..1
///
Power............... Three Phase.................. Move Meter..............
104 2/59-250 ELECTRICAL INSPECT0R