38501324 Flower Ct
CITY OF SAN JOSE
Building Permit Confirmed 1-1%
Not Required �V
BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date ------------------ ..--- -../_ -- ------- 19.��Pernni# No..�.F'SU---------------------------
/ y
The undersigned hereby makes ap fio �1-�I�a�-d nj actor of the City of San Jose
for a permit }o insfa 11 1�}r' // fi r an -f`1Cf in9/ fQY6n }he reverse side.
Exemption from re/qui a eM r S#a c of a iforn is for Contractor's License is hereby claimed
by undersigned: as owner [h, Y n �ap nr {,yl
Undersigned attests that his State of C Co ss , ns y
is in full force and effect and properly au} /fixes this application. 2
San Jose City Business. License # ( n — O/ % �6
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER (//
ADDRESS Z-3 -2- n/ �° w e 1
USE OF BUILDING
FIRM -4/ 2 -:A SIGNED�—
voRm 280-10 19/681 10u
1326. Fl ower rt
Alta
ell -71
ITEMIZE THE FOLLOWING
New Old
Outlets
Panels, Cabinets Size Service Conduit
Switches
Switchboards Size Service Wires
Receptacles
Panelboards Size Service Switch
Fixtures
Festoon Lamps Size Sub Feed Conduit
Mercury Lamps
Dryers KW Size Sub Feed Wires
Ranges KW
Heaters KW Number of Circuits
Signs Transformers
Motors Number of Meters
HP
Phase Ampere Loads Lighting - Power
Miscellaneous
Rough Inspection
By
Final Inspection
By
Remarks: