32596 (2) 7516 Donegal
' Building Permit Confirmed ❑
Not Required IL;If
CITY OF SAN JOSE I I -�- �F BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
•� ,$�q
Date---V - ------------ 19.L..� Permit No.. - /.- -
The undersigned hereby makes application to the Electrical I efor of the City of San Jose
for a permit to install c ri e a r g s st n e, reverse side.
Exemption from re r to C ori o ctors Licen a is hereby claimed
by undersigned: as joAo zfe4ement {fled25,
Undersi ned attests that hisStaCj.ris in full fore end effect and propsSan Jose City Business License ��ll••..//////
1 certify that in the performance of the work for which this permif is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESSz� N�GAL
USE OF BUILDING 2
FIRM r---r-A3 �1S '� � SIGNED
260-10
7516 Donegal Gotelli Elec 9
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service 2-
Conduit �r
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch �L
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 �S,�Y4AY
Rough Inspection B
f Y
Final Inspection BY
Remarks: