124 (2) ?17d � `�
NO. STREET LOT NO.
214
APPLICATION FOR EL EC ,RTAL AL PERMIT
CIT.X OF CUPERT O
%4'
Date IU'4- , 195 t ermit No.
Fee $ 9Sa
Application is hereby made to the City of Cupertino for a permit to install electrical
C-;J 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
! 't City of Cupertino, and all other laws applicable thereto.
J Use of Premises
Owner?fL�+ -���v ��/�/ %92dress
14 By 1 C r .Y�O, i�[> �. AddressCi eL l! trL
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL INSPECTOR
NEW RPL ,-FEES
Size Service Conduit.,/--t..-.,.(......Number of Outlets........---------- --- ---------- - I?.......
��Y'�. ..Number of Switches................ .� C
Size Service Wires....... ......... --- - -------- -
Size Service Switch...../ ..........Number of Receptacles............ . ----- -- ------
:y.. �...
Size Sub Feed Conduit..............----Number of Fixtures............ .....10 ... ..
Size Sub Feed Wires....................Ranges........i....... KW------------ --------- --------- ---
Number
-Number of Circuits................... Oven ---f.......... KW.............. .......... .......... '7/',...
Number of Meters...... ................Signs---------- Transformers........ .......... .......... ..............
Misc.................................. Dryers---.........--------..... --------- --------- --------- - --' 1
Motors..-..:J--------- H .iC.:-. '-.-- Phase-------------------- Permit Fee $1.00
Motors---'................ .....................Phase------..............
Motors.................... HP.................... Phase----------------- H P Charge---------------- ---- --------
TOTAL FEES
C INSPECTION APPRO�
Rough Wiring. ..9.. Fixtures --
CT
Finish Wiring P.. - otors --
AT[ IRLPECTOR TL ^
Final .... �......... . _....----`--.`......
OAT. IR9PLCTOR
ELEC4 SERVICE NOTICE OrFICE
'T
BUItMG INSPFCTOR' -S ,OFFICE COPY
C OF CUPERTINO I
----------- ....... k.... .. . ..... ..
To You are hereby authop d to con/nee Electric service for
....... ........
Owner or Te
A, ....... .....................................
No. of Wires ----- ............ Size of Wires ................ Size of Switch ---A.We�
MotorLoad ---------------------------- Voltage ................................ Phase ....................................
HeatingLoad ........................ K. W- ---------------------------------- Voltage ................................
t ..............110 .........._._New Service ................Reconnect ..........
No. of Meters ....../--........ Lig"
No. of Add. Meters ..........
Heat ................220 .�......Three Wire ..................Move Service ..........
Power-._.......... 'Three
hree Phase..................
----'*-.**' Move Meter------------
- e4
......... ...!4Q0..1.a____.... ..�.............................
104 6/59-250 �/ELECTRICAL INSPECTOR