26837 (2) 7945 Fall Ct./ Building Permit Confirmed 5;� `
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
�i APPLITION FOR ELE TRICAL PERMIT ��
/
L Date../-5 --------- ... 1 -- ermit No....... .1�...O...J. ...
>� The undersigned hereby makes appli ion to the Elect r' al Inspector of the City of San Jose
fora permit to install gJeEfr 0 w jw�gJ fls don the reverse side.
,Exemption from fe or a ornia r Contractor's License is hereby claimed
c��7
by undersigned: as ownof ❑ statement filo/
� Undersigned attests that his Sf9999�j�)e of California Con#r 4 �s
is in full force and effect and proyKdy #mss hor>r t 's a
San Jose City Business Licens C2 /
certify that in the a formance of the work for which this permit is issued I shall not employ
any person in any ma a so as to iolafe th workmen's compensation laws of California.
OWNER �
ADDRESS
USE OF AimniN
FIR ED
260.,0 9
ITEMIZE THE FOLLOWING New 'Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards., Size Service Wires
Receptacles - Panelboards Size Service Switch ZKO
Fixtures -/ Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW - Size Sub Feed Wires
Ranges KW Heaters KW Number "of Circuits _
Signs T a sfo ers Motors Nu r of lkJ9fers
HP Phase Ampere J ALighting� Power
Miscellaneous
f'v
Rough Inspection
Final Inspection
Remarks:o7-4-2 y Q(�C/ �i16w .l r- Uo-1 u olc s
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er'ti(tjs�!',as.. b �a.(.Gs'L'rgC��u n✓len. //s-Ga�7t �f/