89605 7647 Prospect1/
BuildingPermit Confirmed
Not Required -❑
CITY OF SAN JOSE (ng BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
G� Pas.
Da#eS 19 -- Perml# No. - -----------------
e undersigned her y. kes a lica}io to the Electrical In c'or of the Cify of San Jose
fore permit to instal e e ur e w' g as ,6ee'h reverse side.
Exemption from r it S}� 0 1 or is f c}or's License is hereby claimed
by undersigned: 00 as owner ❑ statement filed 11
Undersigned attests that his State of Cal ornia Contractor'
is in full force and effect and properly. auth a
San Jose City Business, License
I certify that in the performance of the work for which this permit is isrued I shall not employ
any person in any manner so as to violateyfhe workmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING � /— _
rtnG' 0 ELECTRIC ,
RI r SIGN
FORM 42BOf i 0 I110Y6'17 11f.A�Mille
�- 6++ yPrbspC2 fornia 94086 Cupertino
ITEMIZE THE FOLLOWING Ne Old
Outle+z �y Panels, Cabinets Size Service�o dot
/ L
y� witches 7J Switchboards Size Service res
Receptacles Panelboards Size Service Switch A00,47
'13'%Fixtures 7a Festoon Lamps Size Sub Feed Conduit
/='Mercury Lamps Dryers KW Size Sub Feed Wires
/ocRanges _/ KWA3_7!Heaters KW Number of Circuits
Signs Transformers Motors Number of Meters _
HP Phase—"---X—,Ampere Loads Lighting Power
ooMellaneous r� o
J�
/�f�gh Inspection 15 �"( By (�
Final Inspection q -GP By
p
Remarks:s'-Y-(o P ae