186 NO. r 5 AEE�1' LOT NO.
V
2155 APP C TION FOt ELECTRICAL PERMIT
AM F CUPERTINO
� _., � /d�
Date -41
Permit No.
1 bee ;S
Application is he by of of Cupertino for a permit to install electrical
wiring 064 nfivres(I t6rib oreverse 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.
vel /j
a, Use of Premises
a OwnerAddressCl�a�rrt-L._
By Address
CONTRACTOR, AGENT '
Approved
Phone: ELECTIU L Imp9crol
NEW -Rr-' - FEES
Size Service Conduit--- .....Number of Outlets------- ---------- - -------- ---------- -Ayr
Size Service Wires... .
......Number of Switches---------------- --.L-]'.. .......... .
Size Service Switch...../f�. .......Number of Receptacles............ .�.4?-- ----------
Size Sub Feed Conduit..................Number of Fixtures.................. .. ... .......... .
Jr
Size Sub Feed Wires..................Ranges.---../..:..... KW..._....... .
---------- ***...... ...
Number of Circuits------------..... Oven ./.--------- KW-------------- ---------- ---------- --
Number of Meters...../..................Signs.......... Transformers.:..---- ---------- ---------- --------------
Misc................ ryers------------------------------------- -- - ------- ---------- ----------
'-e
motors Phase.--.._.._--------- Permit Fee $1.00
Motors-------------------- H1Y.................... Phase--------------------
Motors-------------------- HP....-------------. Phase......---....----- HP Charge.........------ --------
TOTAL FEES
C _WP
7e 'p,%0 F EECTIC�N APPR I
Fixtures
r
g 9 Fixtures ---- -----------------
Rough Wiring - - ----------- I---- .-yvenlL#
9
IN. CTO. 1 31 TOR
------- ----
Finish Wiring - I A TOR
Final �l�.l...-.....�---.. .-----------------
y`. DAT[
T"P
T, INSPECTOR
M
---lf'Fioto's. ......... TOR
DATE 92-pl!
ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO i
J> el
...................... ... . ....................
To
You are hereby auth o�)nnect f
Irc service for
..
Owner or Te ---- ........ .........--
At ---
No. of Wires ........... ---- Size of Wires ?!��'.. .... ... Size of Switch .-11�90ellov
MotorLoad ............................ Voltage ................................ Phase ....................................
Heating Load ........................ K. W. .---- -------------- voltage ................................
No. of Meters ....../..........)Light --------------110 ..._v.--New Service ........Reconnect ----------------
Heat ................220 ........Three Wire ..................Move Service ---......
No. of Add. Meters ..........
Cover ........... 1---Nirce Phase.........,,,,,,...Move Meter ............
.................
t04 6/59-250 ELECTRICAL INSPECTOR