56406841 ALDERBROOK
Building Permit Confirmed 0
Not Required wC1
CITY OF SAN JOSE
BUILDING DEPART . EJv1 NT,
APPLICATION FOR ELECTRICAL PERMIT
9 -�
' Date - - -- --------- ..... -- .
The undersigned her y a pli n +he
eci c In r of the City of San Jose
for a permit to install le
c wirin
a is t reverse side.
Exemption from re ue
ent r Sfafe of California
for Contractor's License is hereby claimed
by undersigned: s'owner ❑
California
statement filed
Contractor's License #%✓- 37y�r i
Undersigned attests thatfii State of
is in full force and affePeLSan
Jose Cify BusinI certify Iha+ in the
any person in any mas io viola work}nen
s c
ti aws of California. _�._
OWNER —z:5, C7
G
ADDRESS
USE OF OF BUILDING Sf/%`� ��%/✓l
�/— �/��
FIRM SIGNED
a -iaa�
zee.�err q
841 ALDERBROOK G
MT I I FR K T T!'HFFI
THE FOLLOWING
New Old
Outlets Panels, Cabinets Size Service Conduit
Switches /Switchboards Size' Service Wires
Receptacles /Panelboardz Size Service Switch
Fixt es, Festoon Lamps Size Sub Feed Conduit Zia
e ury Lamps Dryers W '•e Sub Feed Wires
Ra gas KW Heaters ...�.�KW mber of Circuits
ns Transformers M6tors Number of Meters
HP L ase mpore Loads Lighting Power
Miscellaneous?
Rough Inspection By
Final Inspection �77 - By _
Remarks: 9 °x'{'-77 -3 r"..� cf •�%
280 -201N