60583 (2) 915 Tant SU Building Permit Confirmed ❑,
Not Required
CITY OF SAN JOSE y 13 _ 71 BUILDING DEPARTME T
y� p APPLICATION FOR ELECTRICAL PERMIT
Date...1. .t--a--I--J_...........jib------------- 19.7.1; Permit No--------------IUDi�3-----------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical ix u e a r w' in I' e n th r verse side.
Exemption from requiremc�t% 9�/SY is icons. is hereby claimed sari
by undersigned: as o er ❑ statement filed ❑
Undersigned attests that his State of California Contract rs License # c,16 353- .35
is in full force and effect.and properly ufhori:es this eppliyA�y
San Jose City Business License # & " �',S5 43'/
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER MR M !I S k r W e-S
ADDRESS 9 1 S TAN 4 R 0
USE OF BUILDING 5 N I c f" ""'M' 1 f2 CS
FIRM G°U�R E Ie' f• SIGNED 2 0 201n
l
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires �U t
Receptacles Panelboards * Size Service Switch _)Va
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' Amp66 Loads _p.
P /Lighting Power
Miscellaneous CONVeAf {2ow� rJreR4�t/}d &avmc}.� yi d ¢�
d
Rough Inspection �( B
Final Inspection 7 B
Remarks: y
280-201n