1235NO. srR ET LOT NO.
VAj F ELECTRICAL PERMIY'`
CI CrUPERTINO
INOV 21 1cl, �I y
Date ' �/ %V.'' % • _ ; .19 Permit No.
CITY OF CUPR� ���
1 Fce
� 5 / 7J
Application is hereby.mad� to e i }� Cupertino for a permit to install electrical
wiring .and/or fixtures"as'lisfed:on the reverse side hereof, and agrees to install said
wiring ,and/oi fixtures'in accordance with the provisions of the Electrical _Code of them
City2?,4,. vpertino, and all other laws applicable thereto.
a Us"e of. Premi e o / w ems'' - . -
a OwnerAddress •' ' r • 1
Address
CONTRACTOR, AGENT
Q.r
;y
INSPECIbt
Size Service Conduit ---------------------- Number of Outlets...........
Size Service'Wires
utlets-----------Size"Se'rvicu7Wires ..........................Number. of Switches................
Size
witches----------------
Size Service Switch ------------------------Number of Receptacles............
Size
eceptacles------------
Size Sub Feed Conduit ------------------ Number of Fixtures ------------------
rpj
Size, Sub Feed Wires ................'---Ranges......... ) ------ KW-------------- ----------- ---------- -------._%.S
Number
-------- 7.6 -
Number of Circuits....---........... Oven -----1-..... KW -------------- -------
---- ---------- ---------- A57
Number of Meters ........................Signs........_ Transformers............._... ......
..........
Misc.---------------------------------------------Dryers--- t ---------------------------------- ------- - ---- - ... ..... ...
Motors ......... HP -------------------- Phase ....................
Motors --------- I -- ---- Permit Fee.'$'I'"00
......... HP ... ! ---------------- Phase -------------------- A,
Motors .................... HP -------------------- Phase -------------------- H P Charge........------- / Q C)
TOTAL I—ES
Rough Wirin .......
GATE INSP[CTOR
Finish Wiring., ........ ... .....
..T9 . - , INSPECTOR
ON, APPROVALS
Fixtures .... : ----------------- ------- --------------------
DATE INSPECTOR
Motors ------ ..
Final
W.. .. C -T!. -R.
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CiTYYOF CUPERTINO
................... ./s.Z................... ..... 196..
To
.r You are hereby aut ed to'connect the ELECTRIC servic fo��/ .
;: •Owner or, Tenant .. . .. . .... ....... _.... .:.. d!_._..
No. of, Wires tl..:..._...... Size fres -.._.pal."'Size',of Switch:/!/D .;..,
. Motor Load ...................... Voltage ------------- ...:--- ._.---... Phase ---.....----_.:;...a....... -....
Heating Load .. _`......---...-.-- K. W. ................. Voltage .............-1-'=-`- ---
Light .....-......_l 10 .... ..New Service ...'.vr... Reconnect -------- -
t No. of Meters _...} -
----- Heat ---........_.220 .��:....Three Wire .... ............. Dlove Service .......
No. of Add. Meter:......... Power ....... TI Phase --- ----- _._...Nlov Meter
s
r d _r. f
1 r r.
� Ii. . •+ LLC ICAL INSPECTOR
rn1p 04 %61=1500. " 4 l j� r 1 .r av_ �' +.+• rs >w.
C!./1