NO PERMIT NUMBER (3) ITEMIZE THE FOLLOWING New Old
Outlets :� Panels, Cabinets Size Service Conduit
SwitchesSwitchboards Size Service Wires `
Receptacles //V Panelboards Size Service Switch lwa i,me
Fixtures Festoon Lamps Size Sub Feed Conduit I(
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 �I. _` By —
Final Inspection . ly _ By
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1147 Kentwood Ave
Building Permit Confirmed lia
Not Required ❑
CITY OF SAN JOSE. BUB DING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT —�
Date------------�-------- I..? ------------ 19-6.7., Permit No.----------96- _
The undersigned hereb makes a plication +o +he Electrical Inspector of the City of San Jose
fora permit }o.install el ct e a 'r lijn the reverse side.
Exemption from requi a en r o al o X C2}rector's License is hereby claimed
by undersigned: as owner _ statement filed ❑ /
Undersigned attests the} his State of�jalifornia Contractor's License
is in full force and effect and properly ar' }his pf'pgY�n./
San Jose City Business License h / (/,v
I certify that in the performance of the work for which this permit is issued I shall not employ
any poison in any manner so as to violate the work,c�(�� comFpensation laws of California.
OWNER
ADDRESS
v 0 �—
USE OF BUILDING U
FIRM SIGNED c
See.Io
1147Kentwood Ave 9
- Rafter