2010 (2) lAiWal
NO. STREET LOT NO. .
APPLICATION FOR, ELECTRICAL PERMIT
CITY OF CUPERTINO
Date J / —"95—_ Permit No.
Fee $
Application is hereby made to the City'of Cupertino for a permit to instalYelectrical
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.
v Use of P emiseq
v `
Ow Address
'd Address
h NTRACTOR, AGENT
�Y/ Y Approved n'
one: ELE ICL INSPECTOl
NEW RPL FEES
Size Service Conduit.......:..............Number of Outlets.................. .... . .......... :....a
2 k
Size Service Wires.........................Numbel of Switches.............. ........ .......... ......
. .. '�'�O
...... .
Size Service Switch........................Number of Receptacles............ .. 7
.. ... .......... ...:.........
Zz
Size Sub Feed Conduit.........__....Number of Fixtures.................. a.!� . .......... . .40
Size Sub Feed Wires.............._..Ranges......? ...... KW.............. ......... .1"r0
Number of Circuits................... OVCA ......,.:..... KW.............. .......... .......... ...
_..........
Number of Meters.......................Signs.......... Transformers........ .......... .......... ..............
Misc..............A4............... . .........Dryers......................................: .......... .......... .....7
Motors.................... HP.L/............. Phase.................... Permit Fee $1.00
Motors.................:.. HP.................... Phase...................
Motors...................... HP.................... Phase.................... H P Charge........
TOTAL FE.'Z..
�$
O OF INSPECTION AP� A >, w
Rouh Wirin Za .... .. ........................ Fixtures .: l Q.
8 g z.........( .:......:.................
• WT ��"�IROKCTOR p.i K, ', ;'[RECTOR
Finish Wirin���..:.s..:.'..t_�_ .:1.......... otors .. �)::..�..
g / ' .._.......I......
Gl�t INSPECTOR /� t.T (J^Ixir90TOR
Final ... .li:...jt....,::.��/.-t....,`............:....
043E IRVKTOR l'
QFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
I........................ ................ 19sk
TO
You are hereby aut rized to connect electris is r
Owner or Tenant .................. ....I............ .... . ...... ... ....
At .............. ............... ..................
No. of Wires .........Z........ Size of Wires .. ...... Size of Switch 1.60-
MotorLoad .......................... Voltage ................................ Phase .........................
HeatingLoad ........................ K. W. ..... .............................Voltage ................................
NNo. of Meters... Ligh ...... tio -2e�service.. ... Reconnect..................
o. of Meters..._ J.1"t... .......---220 Wir ........... ... Move Service............
Heat.....!
No.of Add.
.
Power.............. Ph ........ ... Move Meter..............
.4 ..
........
.- .. .... I. . ........ .. .. . ..
104 1/63.500' 1ECTRICAL INSPATOR