2022 (2) ��� r'X-" / i /(% ,fit.Al ,ce�
NO� STREET LOT NO. .
®� APPLL CATIONEIFOR ELECTRICAL PERMIT
MAY 15 969 , ITY OF CUPERTINO
'Dat ^ �`�`�'�lICI.J�'.'n'h , 195— Permit No.
Fee $ /
Q Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures 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.
dN Use of Promises
:7 Own �L��'��Lf'0 Address /
B tW• Address
C' TRACTOR, AGENT
l '/ )/ Approve
ne:�"e� Jv` V ELECfEIG11NSPEC[OR
NEW RPL FEES
Size Service Conduit...............:.....Number of Outlets.................. .... .
(�... .......... ..............
Size Service Wires..........................Number of Switches..............
.. ....>...... .......... .a._U..
Size Service Switch........................Number of Receptacles............ ... / . .......... .<3 .v
Size Sub Feed Conduit..................Number of Fixtures.................. ...1� a Q
Number of Ciircuitsres.............. Oven ........../ KW.............. .......... .......... ........ �^
o
Number of Meters .Signs Transformers S
Misc L'......
e ` Dryers .:. 7
eR"
IH Ph e
Motor ......... :....a.. ....... Phas °Ls Permit Fee $1r:00
L
Motors................:... HP.:.:...........,.... Phase.......:.......'... H P Charge
> TOTAL'FEES'
.r{ RE - - OF INSPECTION APP1L V -
Rough Wiring.S'.ap2' .. .. Fixtures .' =41
;. Frmsh%.W4inn ....------.. ... . ....-......... M;io
o.:.. /7...�3..�...... `. ................. a
�xartcrox
OFFIa COPY
' ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
' CITY OF CUPERTINO �
�
You ire hereby aut d to 2pnect eleecc¢ii s fo
I
Owner or Tenant .... OSI (...... 11�G�rQ ..... ........
�............ t ......... Size of Switch. --I .r.
No. of Wires ... Size of, Wires .....
Motor Load .......................... Voltage ................y...... Phase ..................................
HeatingLoad ........................ K. W. .............:...................... Voltage ................................
/
No. of Meters.... Light............_. 110...._......... New Service _
..._.. ....... Reconnect..................
' ye/......
No.of Add. Meters............
Heat..........._... 220�.... Three Wire................ Move Service...........
Power............... r e............... Move Meter..............
i
........... !. .
104 1/89.800 ELECAL INSPECTOR
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