29234 (2) 7771 Robindell Way
Building Permit Confirmed,;?�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTM
APPLICATION----FOR ELECTRICAL PERMIT
5. a ..---------Date----------.. _ ------ -
The
undersigned her kes p is o }h leetr' al clor of the City of San Jose
fora permit to ins}all ectr' r wir' g s the reverse side.
Exemption from r u n t of i ern or C frac}or's License is hereby claimed
by undersigned: as owner ❑ statement filed E]Undersigned attests that his State of Cali ni ontractor's License #
is in full force and effect and properly auth iz appli i
San Jose City Business License # ,L0 0O
1 certify that in the performance of the work for which this permit is isfued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER U�� �ti�(LAI.V\
ADDRESSb`n^
USE OF BUILDING S \Q A-0 e l�
FIRM `\Ct c C �- �`e c SIGNED o
F7771 Robindell Way Karsen
ITEMIZE THE FOLLOWING New Old
Outlet Panels, Cabinets Size Service Conduit
! #2
Switches Switchboards Size Service Wires I
Receptacles Panelboards Size Service Switch I D n
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 0-5-ighting Power
Miscellaneous
Rough Inspection ^G By /
Final Inspection
Remarks:-,j J y(/J
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