44492 6355 Atherwood Ave.
Building Permit Confirmed ❑
Not Required . /
CITY OF SAN JOSE BUILDING DEPARTMENT
/�/,/ �j/JA7�PPLICATION FOR ELECTRICAL PERMIT
Date--- ---- .1/Y ..------------------- 19_-(�--� ernnit No.---"T.7"`]`.. .�.---....--
Tha under sig d Fare y a a n o e !� ria s rector of the City of Sen Jose
fora permit to ns}all ¢ fi s d/or iri a iha reverse side.
Exemption ro ra f or ate of Ca ifornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License #'
is in full force and effectan properly authorizes this ep licatio .
San Jose City Business c s
I certify that in the p rfo of the r i it i ' sued I shall not employ
any person in any manner 4 of
a h s m atio ws of California.
OWNE *\WAI&
ADDRESS (�3 s L
USE OF BUILDING
SIGNEDLd � �r vGar�
280-201n
6355 Atherwood Ave. H.O. /
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
ReceptaclesPanelboards Size Service Switch QQ
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�leters
HP Phase Ampere Loads�f-}Lighting Power
Miscellaneous /AG _
Rough Inspection By
L!
- _
Final Inspection !"n / By
Remarks:
280-2012