97920 1575 Jamestown
Building Permit Confirmed I(d'
Not Required ❑
CITY OF SAN JOSE BUILDING y BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date----- - ..- -- - ---2'L-----. 19.4 Permit No...��go7Q------------------------
The w rsigr. er b make ap lication to the Ele 'cal Inspector of the City of San Jose
for a permit to in e i / t' 7 ' ted on the reverse side.
Exemption from q ' st'(o at C to si or Contractor's License is hereby claimed
by undersvgned: as owner ❑ statement((����{{iled ❑
Undersigned attesfs that his to Califor Contracfor's Licenld` r ��
is in full force and effect and pr a then Qnt/
San Jose City Business Licens
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manor so as fwioleJe the workme compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING/�
FIRM �i�6fl�( e� SIGNED-
280-10
IGNEDzee-io
r____ Butler
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Z Switchboards Size Servjce Wires 2
Receptacles Panelboards Size Sce Switc ybr31i //-,I
Fixtures 2 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 r� /'
Rough Inspection — / -3�� 7 By
Final Inspection —By _'V
Remarks: ;7 ri
1'