117 (2) STREET
2154 No. A LPP ICATION� � LOT NO. RMI---��.
y 'FOR ELECT CAL PE
l - OF CUPERTI' O
Date 195. Permit No.
/—G�
Fee S /
Application is hereby made to the City of Cupertino for a permit to/install electrical
4 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
V City of Cupertino, and allotherlaws applicable thereto.
\ Use of Premises /�l�✓� �>
u
a
Owner AA/A- a PA//�i�J�tis/! ]dress '
By C4`_._.' -oi- Address ++rRi t✓e zc�
e CONTRACTOR, AGENT
ApprovedY
Phone: ELECTRICAL MPECTOI
NEW RPL . FEES.
----- ---------- --
Size Service Conduit... ...Number of Outlets------------------ ---/.�
Size Service Wires... .Z......Number of Switches..........._._ -/,r—- ---------- Z?
Size Service Switch...... ---------..Number of Receptacles..........-. -;�_4 ........ ..444....
Size Sub Feed Conduit..................Number of Fixtures.................. - -- ----------
Size Sub Feed Wires............._.....Ranges._......... KW--..---.------ ---------- ---------- --7?------
Number
--7 ----
Number of Circuits.................. Oven ---/.......... KW.....--.----- ---------- ---------- -7 ------
Number of Meters--.-./................Signs.......... Transformers........ .......-.. .......... ..............
Misc.-------..........................-.---------Dryers......----......._..
Motors-------------------- HP-------------------- Phase--------------------
Motors-------------------- HP-----_------------- Phase.......... ......... Permit Fee $1.00
Motors.------------------- HP--_---------------- Phase.._--------------- H P Charge........--...... --------------
TOTAL FEES
INSPECTION P)R
Rough Wiring -----------
I R
Finish Wiring
CFinal <� .....-----'-'-'--
OAT[
R OR
A 0 ------------
JR5PtCVOR
E ;
ELEC RIC SERVICE NOTICE oOPY
BUT
IN1G INSPECTOR'S�OFFkCE
IT� OF CUPERTINO J
r.
talma........_.................. 19.
To
You are hereby auth 'ze to conne lectric service for
0
Owner or Tenant --- _ .. ...... C't . . .. ./4..... '
At ../�?o�L✓l� d� t/� .............. .........
/ - AA J
No. of Wires ...�.............. Size of Wires -----�----------- Size of Switch..AlJ..V..
Motor Load ............................ Voltage ................................ Phase ....................................
HeatingLoad --------------------- K. W. ............._................... Voltage ................................
Light ..............110 . ........New Service ._
No. of Meters ...../ ......Reconnect ................
............
Heat .............._?20 _v.......Three Wire ..................Move Service ..........
No. of Add. Meters ..........
Power .............. Three Phase..................Dtove Meter ............
........ .... .. ........................................................
104 6/59-250 ELECTRICAL INSPECTOR