28464 1391 Aster lane J/
' Building Permit Confirmed.�f'
Not Required ❑
CITY OF SAN JOSE ' 2 y BUILDING DEPARTMENT- _
. / APPLICATION FO7permit
CTRICAL PERMIT
Date... --- _.---...- - 19 No. -------------��
The undersigned hereby makes application to fhe Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures and/or wiring as listed on the reverse side.
Exemption from requir ant for State of California for Contractor's License is.hereby claimed
by undersigned: a o to t file /}..
Undersi ned after} fhet a m on r i nse
is in full fore and eff cf prop y au} or' es i a p ce ' n. #
San Jose City BUsi L' ;` �- 6 , �;2
1 certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as t viola! he workmen's compensation laws of California.
OWNER /
ADDRESS
USE OF BUILDING
FIRM SIGNED
280-10 (9-73)
W 1391 Aster Lane B-D E1._
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit �z-
6�
Switchesc�0Switchboards Size Service Wires
I
Receptacles 4 Panelboardz Size Service Switch _I2-'> _
Fixtures � 1 Festoon Lamps Size Sub Feed Conduit
Mercury Lq'mps� VAS Dryers KW , Size Sub Feed Wires
Ranges KW�_ Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous _ �_;7�
Rough Inspection _ �) '`'� By
Final Inspection e- By �
Remarks:�'.
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