909 (2) s'. I A V
�.. .NQ t STREET LOT NO. Z IS Z
I'-
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Il Date-�r _�� , 15k Permit No. b
Fee $ lb, -75
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtuies 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.
y Use of Premill,
c _
a Owner a✓r y _ Address
'4 BY Address ty .
CONTRACTOR, AGENT
__{rG —
Approve
il VA
'.� 6Phonc �� - /ELECTRICAL INEPELTOI
NEW EEL FEES
Size Service Conduit-A51..............Number of Outic��s "'.F;------ '.I/
--- -- ------- --
'35� 2
Size Service Wires:--...................ta�-Number of Switches....L:t—..... t-..
Size Service Switch.,.«r0.....-...Number of Receptacles------------ -- ---------- -
Size Sub Feed Condkt:.................Number of Fixtures.................. .......... ......... ..............
Size Sub Feed Wires---................Ranges--------/.... KW.............. .... --- ---------- -----
Number of Circuits.----------------- Oven .....1..._. KW.............. .-/----- ---------- ----7 ...
Number of Meters........./...........Signs.......... Transformers-------- ---------- ---------- -----------
Misc.......-------'-------------------------
----------Misc............... Dryers .......... ...
..........
Motors------------------- HP-------------------- Phase------------
Motors-------- ------- Phase t? -
imeit F oo
Motors-------------------- HP-------------------- Phase—................. H P Charge.----- ----- - ---160
TOTAL FEES— 4
D -'rNSPECTION APPROVALS
r�R
..A --FbffuFe"s ....... --------- ----
Rough Wiring -1-------
F h Wiring ---- .........9.C.T-0-R- Motors ..... �bArl> INSIEII.ft
Finish ----- -Sv ------
...... -----------
DATE INSPECTOR Final /--7/ ---'.:S1.3��......
DATE INSPECTOR
OFFICE COPY
ELECTRIC S ERVICE.-INOTICE
BUILDING INSPEcrOR'S*6FFICE
CITY OF CUPERTINO
----------------
i........... . 196*
0
You are hereby authnyre' d
pto connSft electrical service fi�w
Owner or Tenantktw - ........ . ..........
-------------------
At --Iga�?RR
- --------------------------------
j
------------------------------------------------
o. of Wires ..........
1, --- Size of Wires es ---------------------- Size of Switch
tor
Load .-----...._------....'•._ Voltage ----- ------------------------- Phase ----------------- ------------
.4
Aicating Load ......................... K. W. ------------ ------------------ Voltage ...............:.... .... ...
ight.--- 110- New Service............... Reconnect............_...
No. of Meters....
---- Light......-.-.....
Heat
220............ Three Wire................ Move Service......_....
No.of Add. Meters............
. Power..----------- hr e-- ter..............
104 1/63.500
FILICTRICA1�INSPECTOR.