61840 7864 Belknap 1 Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION, FOR ELECTRICAL PERMIT 6 C// .f'Er
Date M.��.-^. - .. .. i N
d/_ -------�s
The undersi a e ca ion o tXritel nspec}or of the City of San Jose.
for a permit fo install el Tical fixfures and/or wiring as listed on the reverse side.
Exemption from requirement for State of California for Contractor's Licen e s hereby claimed
.... by undersigned: as;wner �❑ sie}e ant filedUndersign ' s s }hai � yel =i C c}o ' icensa #is in full for fart an ^l!
San Jo 4 smess ¢ se
the work for which this permit is issued I shell not employ
I certify that in the performance of
any person in any manner so as to violate fhe workmen's compensation laws of California.
OWNER �•
u ADDRESS LK
a �
USE OF BUILDING
FIRM MIA/� CoNSTRUU NED 2, 0- n
7864 Bel"p 'Milrich
ITEMIZE THE FOLLOWING New 'Old
Outlets - / Panels, Cabinets Size Service Conduit
Switches 9 Switchboards Size Service Wires
Receptacles �Ll Panelboards Size Service Switch 4h.) 9
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 _ �—
Ligh+ing Power
ellane -Misc
ous Vt
Rough InspectionF-0.?
2-7f BFinal Inspection B //_ y
By
Remarks: 6
8-av:,23$CrN/� -r..�`�7 "Kbu1 WcCA c...�-
280-201n