1749 -
NO. STREET f� LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Date -, 1942— Permit No. 7
Fee S I "O
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
r wiring and/or fixtures in accordance with the provisions of the Electrical Code o/'.the
City of Cupertino, and all other laws applicable thereto.
Usetof Premi `b y
:a' v nc!r Address ''' t 1 Fr y4y .
Address;
CONS RACTOR -AGENT i `�J y •�'-
Approved ��'�/
Phone: 44= O- /•A el 'F� F �4 B RC[RICAL�jNSPUL'ra
' }. �1i raI-
t
• NEW RFL FEES
XSize Service Conduit..... ...............Number 0 Out S.... ............. .. .. ...... ... ...
Size Service Wires..........................Number of Switches................ ..?.a. .......... .....
Size Service Switch......_...............Number of Receptacles............ ...2... .. .......... ......
Sizc7Sub Feed Conduit..................Number of Fixtures.....I............ .. . ....... .. .....
Size Sub Feed Wires..._...............Ranges...._)......... KW.............. .------- .......... ........
Number of Circuits................... Oven ....A........ KW.............. .......... .......... ......... Si . .
Number of Meters........................Signs.......... Transformers........ .......... .......... ..............
Misc.... 0— ......DryersA.................................... .......... .......... ...........
Motors*'*"'"'"3.�'..*".,**'"H'"'P"""*':................ Phase...*................ Permit Fee $1.00
Motors............... ... HP..:.---............ Phase....................
Motors.................... 14P.................... Phase....... H P Charge........--.... .(._x...5
TOTAL FEES
COoN,-APPROVALS
Rough Wirin& 4ATE INSPECTOR
Fixtures ..!r............... ......................
R INRTLCTON
DATE
Finish Wiring .....--.. Motors ------
DATE IN.P[CTOR PAT. OT
Final ...... .. . ....... ..........
..... ..... . .......
.... INSPECTOR
OFFICE C py
ELECTRICRVE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
/- --*7 .....................
eo! ...............Z......40m-.? 196...?,
You are hereby au ed In connect clectr!'ptj ervice for
Owner or Tenant .....
At
No. of Wires .._..........Size of Wires��........ Size of Switch
't,r Load ................:...........Voltage ................................ PhaSc' ......;.......................
Heating Load .............. K. W.•................................... Voltage ............. ...........
No. L igh,.. 110.. . New Service......._....... Reconnect._..............
No.of Add. Heat
.. 220............ Three Wire......._....... Move Service
Power............... . h4se...............Move Meter..............
.............I.......................
'L cT'I
104 1/63-500 ELECTRICAL INSPECTOR