66623 956 Candlewood Drive HO
Building
Req Required
Confirmed ❑,'
' 17 / 2 /yNot
c r?-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR
GELECTRICAL
PERMIT z
Date__--------------- I±-- ---------- 1971)-- . Permit No...v.(Q.4o- _J--`--`--......
The undersigned hereb m s ap 1' ti o he lectrical Inspector of the Ci}y of San Jose ,
• for a permit }o install el tric ' }1 s rin e 1 a reverse side.
Exemption from req it ete n. or o dors License is hereby claimed
by undersigned: owner k1 statement filed ❑
Undersigned afles}s the} hi 5}a}o of Ca n onfrac is License #
is in full force and effect and properly auth�� is ep f'
. San Jose City Business License # '
�,,p/�. I certify that in the performance of the work for which }his permi} is issue I shell not employ
-fA-Oany person iruxux"rna nnerftsosas•fo.vli-ola}eethe.workmanlsscompensation-laws-of California.
OWNER
ADDRESS �'�v (�r1NU( �icVy�Jl✓ (DfL
USE OF BUILDING M� � vN/7�
FIRM SIGNED-
280-201 N
IGNED280-201N 9
256 Candlewood Dr. HQ / -
ITEMIZE THE FOLLOWING New Old
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 6 L Size Sub Feed Wire's
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters _
HP Phase Ampere Loads Y]'/ Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection By
Remarks:
280-201N