594171814 ROBINDELL DR.
CITY OF SAN JOSE
APPLICATION FOR
Building Permit Confirmed
Not Required ❑
BUILDING DEPARTMENT
-x
ELECTRICAL PERMIT s/
•J ---- ---- 197S. Permit No.. �'S`I /
Date ------ 4
The undersigned here makes applicatio to the Electrid9 Insp r of the City of San Jose
for a permit to
instal c u rg e o e averse side.
Exemption from re a a f o ra r s License is hereby claim¢
by undersigned: owner ❑ statement filed ❑ S16
Undersigned attests that hi State of Cal' ornia Contractor' is nsa
is in full force and effect and properly au}hones AtS9av
San Jose City Business License #
I certify that in the performance of the work for which th s permit is issued shall not employ
any person in ens manner se as to violafe the workti
men's compensaon laws of California.
OWNER
ADDRES!
USE OF BUILDING
FIRMZZ CL
SIGNED
-201n w
7874 ROBINDELL DR. -?- :7X POTTER �/!J
ITEMIZE THE FOLLOWING New Old
Outlets
Panels, Cabinets
Size Service Conduit
.Switches
Swifchboards
Size Service Wires
Receptacles
Panelboards
Size Service Switch
�G
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,$ b Lighting Power
Miscellaneous
Rough Inspection
Final Inspection
Remarks:
280-201n