22428 9224 Gage Ct. Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR// ELECTRICAL PERMIT �)) c�
Date G ......... - - ..... 19/3. Permit No. ....._...�Zq.,9.............
a undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fiq.res and/or wirin s listed on th •arse side.
Exemption from requireme f fo c s icensl�en'is hereby claimed
by undersigned: �j��% a m file_d_! �
Undersigned attests that his Stat of California Contractor's License *r'
is in full force and effect and properly au}hori�fhis �a4ion.
San Jose CityBusiness License #
I certify that in the performance of the wo ! is pe lsa of employ
any person in any manneer so as to violate theopen a s
OWNER A&S-C&C
ADDRESS ?A?J�K OWlr CT
USE OF BUILDING Z'111A 9� Fkg;1je
_ FIRM SIGNED M_ela&W
280-10 .SpSd ELM&,eave Cr
�J' 37�-3S,C3
ITEMIZE THE FOLLOWING L New• Old
r
Outlets / Panels, Cabinets Size Service Conduit
Switches / Switchboards Size Service Wires Z
Receptacles __Panelboards Size Service Switch
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 7'— 3jy Phase Ampere Loads _&I Lighting Power
Miscellaneous SLdiyplot
��/ �7oeL
Rough Inspection By
Final Inspection _
By
Remarks:6.13-73 _ r
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