32750 bail Bette Ave.
Building Permit Confirmed [.Y
Not Required ❑
CITY OF SAN JOSE �BUI�LDI—NSG DEPARTMENT
APPLICATION FOR ELEC ICTR AL PPERMITT
Date--11---Y------------------------------- 19.7X Permit No.------ S`-� .........
The undersig eraby s 'o r Elect ' Inspector of the City of San Jose
for permit i ns} ac ¢e i' nd/ w' i a e on the reverse side.
Exempiio fr rent
4a C r ontractor's License is hereby claimed
by and ersigne as owner ❑ statement filed ❑ /
Undersigned af+esf +ha+ his Sate of California Contractor's License # -7y Qez,x �
r is in full force and effe } and properly auihori� this ayp icet'on /� L
San Jose City Bu s cense # .-ClA �f 7
I certify that or ance oft {hi rry is issued I shall not employ
any person in any anne as to violate the workmen's compensation laws of California.
OWNERr/f�/1/ 4/�
ADDRESS 9I /�c7T t' /�� Atif .2�9 r
_ z
USE OF BUILDING.
FIRM /TSgy e-/ SIGNED
i
280-10
, 871 Bette Ave Rigsby
ITEMIZE THE FOLLOWING New Old
Outlets 2 Panels, Cabinets Size Service Conduit
Switches S Switchboards Size Service Wires it Z_
Receptacles(aPanelboards Size Service Switch %00I}�ff
Fixtures `2� 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.l(_'�Ampere Loads Lighting Power
Miscellaneous
Rough Inspection S 7 2�
By
Final Inspection By
Remarks: