85817 (2) �6a1 `Erin 'Glaq
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL �PPERpMIT
Date....�.Q�C:.-�j' --...............1114.7 Permit No._51ft.7)----------------
The undersigned her by ma es pl' Electrical Inspector of the City
of San Jose for e per7t(.t�'-AM trl"EaYCures and/or wiring as listed on the
reverse side hereof, and agrees to install said fixtures and/or wiring in accordance with
the provisions of Article VIII, C' for 3, of + t SSan/J clp Code, and other
laws applicable thereto. �/
OWNER fJ �2fil• ��-r Q�� �
ADDRESSUSE OF BUILDING IPPS l�/?f/yl P
--------- • .........-----
FORM 290.10
7661 Erin Way
New. Old
Number of Outlets.............................................Size Service Conduit..........................-
Number of Switches-------------------------------------------Size Service Wires......... ...................................
Number of Receptacles-------------------------------------Size Service Switch.....---.-------------------
Number of FW
ures Size Sub Feed Conduit--------_--------------
-----------
Ranges--------------- KW-----------------------Size Sub Feed Wires... - -
Dryers..----`------------- --- KW-:----6-----------`--.Number of Circuits-- -------"---- %Clft
Heaters- ----------- KW........................Number of Meters-----------------------------
-----------
Signs----------- Transformers------------.Lighting Load--------------- -----Amperes
Motors----------------HP---------------Phase--------------Motor Load------------------------------------------
---------HP
Miscellaneous--.-. --...- � _ �L "c rt✓
Rough Inspection --D �-- BY - - -
j Cu, -- --
Finish Inspection--- :1---aC. .-- ------
37iz ufi- BY�t. t;:_s ----------------------
e, " -