86122 7573 Prospect Building Permit Confirmed Ed
Not Required ❑
CITY OF SAN JOSE e7 - G BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date-----------------------4.'.. .................. 1967.. Permit No. .......opp. (1-1... .......
The undersigned hereby makes application to the Electrical;lnspector of the City of San Jose
for a permit to install electrical 4iiRurei and/or�wir� /Iv ad�n the roverso side.
Exemption from raquireme%�S}e}California for Confracfor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License
is in full force and effect and properly authorizes thisce}io�n.
San Jose City Business License .'i{' & Sa-i OJ-/GY
I' certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER :Y: ALL Iota 2 4 Pq C C 12C,
ADDRESS IT 7 � 5(J FCA F�;9
USE OF BUILDING S ) I —
FIR4
y
CUPERTINJ ELECT IC, I uC ED-
FORM 200 10 12/e7IOM t /}1
�pectno, California. unnyvalf Cupertino
7573 Prospect P
ITEMIZE THE FOLLOWING-- �w (�� New Old
� q � rr
��tZe'ceptacle
tle4s /_�Panels, Cabinets Size Service Conduit
itches �'� Switchboards Size Service Wires '` Y
s PanelboardsSize Service Switch _JooA
plo p —
i. Fixtures Z / _Festoon Lamps Size Sub Feed Conduit
`=Mercury Lamps Dryers KW Size Sub Feed Wires
i% es Ran 71 r
g KW/-7.�Heaters KW Number, of Circuits _
Signs Transf rmerz Motors Number of Meters
HP "/ Phase L0 Ampere Loads Lighting Power
e�Miscellaneous r� / S
/1y�ough Inspection _ /'V _ByoFinall
Inspection 9Remarks: 6/6 I/1�7�dJs�+�'+'� /�tc� lY+-v'`.*-C' e � A73 1
3— �wi.e,r, �Zr..c..,,.,p-F.�:4.� .d,5, 9�� u6�✓G oh(� rric. ��S_