53556 (2) 862 Brent drive Building Permit Confirmedlprl�
Not-Required. . ❑ ..
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
........ 1977.. Permit No.�.
Date - - -JtJ�..- - ..: 3 - --------------------------
The
- -- ........The undersigned hereby `n io The leci ' nspecfor of The City of San Jose
fora permit to instal r I r en s ed on The reverse side.
Exemption from 1 a�(' m o ntracfor's License is hereby claimed
by undersigned: as owner Y statement filed ❑
Undersigned attests that his Ste of California Contractor's License #
5is in full force and affect and pr ly �vthcri:es Th' is �pt1./
San Jose City Business Licen ��'- /��/-4��7�/
I certify that in the performance o t� he work for d which this permIs issued I shall not employ
m
.any person in any manner so as to violate the worken's com pensafion laws of California.
OWNER TOI�PcS , St 1/
ADDRESS goo Z- oRF--IV I >C SP,4 SUS-E (q q S L t
USE OF BUILDING R3 st per� E
FIRM SIGNED
260-201 N
862 Breztt dz Y HD
9
ITEMIZE THE FOLLOWING New Old
Outlets 2 Panels, Cabinefs Size Service Conduit
Switches + Switchboards Size Service Wires
Receptacles 7 Panelboards Size Service Switch OQ
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
Rough Inspection — .2 —77 - By659 .
Final Inspection v
Remarks: BY
\ 280-201N