44841 (2) 1111 Kentwood
Building of Required
it Confirmed O
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dafe-----------------.....---...'+'-- -�------ 197 Permit No._y y y/
The undersigned here a s p Za - { v e a nspecf.r of the City of San Jose
fore permit to install ec} c s i �i on the reverse side.
Exemption from requuemen or Sta a of alifornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ & sta!arpant fil
Undersigned attests that his State of Ca fo ntra s l�T,(/�
is in full force and effect and properly auth r' s app o
San Jose City Business License #
I I certify that in the performance of the work for which this permit is issued I shall not employ
O any person in any manner so as to violet¢ the workmen's compensation laws of California.
OWNER 7O .y f
eeAl7-tc/�J 0,D
ADDRESS vv// K
USE OF BUILDING S��Gte �� �+ru /Le9iveriPE
FIRM �SJ- SIGNED, ✓ `r
280-201n p
1111 Kentwood H.O. I1
ITEMIZE THE FOLLOWING New Old
Outlets Panels. Cabinets Size Service Conduit
Switches S Switchboards - Size Service Wires o-Z—
ReceptaclesPanelboards Size Service Switch /_Oeq
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercur Lamps Dryers KW Size Sub Feed-Wires '
ove
A&^4 ' KW Heaters KW Number of Circuits _
Signs Transformers Motors Nui 16er of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous FI 2e /g
Rough Inspection 11 /—�l� By
Final Inspection _ 2—x-_'1 By
Remarks: 7-2-76
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