6451 901 Cottonwood
i Building Permit Confirmed
' Not Required ❑
CITY OF SAN JOSEU�ILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date...... j _ _ _ 192Y' Permit No.. .3 16
.... ._____ _____ _____
The undersigned hereby ekes applicafion to the Electrical Insp r of the /
/ _ j'Ci1y of Sen Jose
for a permit to install ele is fis s a /t ing isf d e reverse side.
Exemption from req re 'f f d s License is hereby,claimed'
by undersigned: owner ❑ statement filed ❑ .
Undersigned attests that his State of.California Contractor's License # S70 ?3 ('fQ
is in full force and effect and properly a ri iseppl' iorys /
San Jose City Business License # z �f/
I certify that in the performance of the wo`rT for which this permit isissued i shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER co5ANDS
ADDRESS 201 ` //[0NQ/004 cls-Al j oS-0-,
USE OF �&1�BUILDING 51AI le �/m/� �w
FIRM !76-S17(ZOA £�eC SIGNED 647012
280-201n
901 Cottonwood Poeitron 'Elect.
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles_��Panelboards Size Service Switch �?
Fixtures y Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW 3� '�0 Size Sub Feed Wires
Ranges KW Heaters KW_L5 --Number of Circuits _
Signs Transformers Motors Number of Meters 7� _
HP Phase - Ampere Loads _a rLighting Power
Miscellaneous
Rough Inspection — 3/— h�8 By
Final Inspection �� /z� By
Remarks:
280-201n