31213 1391 Aster LnBuilding Permit Confirmed ({ .
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMM ,cu
APPLICATION FOR ELECTRICAL PERMIT
Date----------------------------f.-99 a I V/-, Permit No.----31-;1.3 r.
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
q� for a permit to install electrical fixtures and/or wiring as listed an the reverse side.
Exemption from re en+ for $}a}e of California for Contractor's Licer��e is hereby claimed
6y undersigned: es to filed`S� q�O
Undersigned a+s sfs is ifo n a,o ce a #/ o�
is in full force and ct an p perly authorizes this applic �/ OU 9 /
San Jose Cify Business Lice se fir` vC
I certify that in the performance he r whi er is yRd I sh I no# employ
any person in any manner so as to v workmen o v`/pf ornia.
U OWNER
o ADDRESS 13 91
ZAZf
i- USE OF B LD G
FIR SIGNED
280-10 (9-73)1r
ITEMIZE THE FOLLOWING y New -Old
s=
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles 'Panelboards Size Service Switch,
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
HPPhase A Pere Loads Lighting Power
Miscel an ous/ r
Rough Inspection By
Final Inspection ' .z. 7 L - By <'f'-J
Remarks:
o/Au�u�'-'C.
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