112 (2) O. i STREET, .�F' T NO.
APPLICATION FOR ELECTRIC PERMIT
OILY OF CUPERTINO
n: ilr.j�' ��
Date .1 ` Permit No. /Z2
9 iii✓✓✓ Fee r 9 Sa
> Application is hereby made to the City of Cupertino for a permit to install electrical
+. wiring and/or fixtures as listed,on'thepLevterse side hereof, and agrees to install said
wi1ic7g and/,orr-fixtures in accordincelwithl'the provisions of the Electrical Code of the
,C, of>-Cupe"rtino, and all other laws applicable thereto.
:Ak,
v Use of Premi
c
v
a Owner •> — dress
By Address
CONTRACTOR,'AGENT
Approved
Phone: ELECTRICAL INSPEC7b[
4C' ..
e. NEW RP L
Size Service Gonduit./...0.7x...A.Number of Outlets................... ...
.... ..........
Size Service .......Number of ..
Switches................ .&.. .......... .....
. ... ...
Size Service Switch....1AA.........Number of Receptacles.............;.74. ........ ..:161
Size Sub Feed Conduit..................Number of Fixtures.................. . .. ... ...........
Size Sub Feed Wires..................Ranges....../....... KW-------------- ------••-- .:,m....... ..... .......
Number of Circuits-.'............... Oven ...f........ KW.............. .......... .......... .....
Number of.Meters-:./*..................Signs.......... Transformers........ .......... .......7
Misc....................................0......Eyers........................................ .......... ......--- ..... :
Motors...'26. ir.. Phase.....................
...... Perfifit
Motors.................... HP/.................. Phase.................... Mee 0.00
Motors.................... HP.................... Phase.................... H.P Charge...........
TOTAL FEES
INSPECTION. APP
Rough Wiring --- .... ........
Finish Wiring Kotors
re axreeroR
............
ELEICTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE Cha
CITY OF CUPERTINO
------- ---
*2)- 195-1
--
To
You are hereby a?t4 razed to connect the electric service for
Owner or Tenant e
..........
At .. ....(
�/ ....... ..........................
No. of Wires .... ------- Size of Wires ..................... Size of Switch
MotorLoad ............................ Voltage ................................ Phase....................................
HeatingLoad ........................ K. W. ................................ Voltage ................................
No. of Meters......./ Light ---- Ito-_`..----.New service..... -------- Reconnect..................
No. of Add. Meters.._........
Heat.�,�-:-------- 220-2��V----Three Wire................... Move Service.._.._....
...........�Power............... tThiee Phase.................. Move Meter..............
...........................:............-..........
104 2/59-250 'ELECTRICAL INSPECTOR