36611 1175 CRESTLINE DR.
Building Permit Confirmed Ee
Not Required ❑
CITY OF SAN JOSE BUILDING. DEPARTMWT
APPLICATION FOR ELECTRICAL PERMIT
Dafe--�.1kjv- _ ..... 6----- _ ----- 197.5- Permit No. -----�---------_------------------
The undersigned hereb kes li a ' n t le al Inspector of the City of San Jose
for a permit to install ale tri. I fi ur or it ed on the reverse side.
'+ Exemption from requir a #a a of if r is for Contractor's License is hereby claimed
!' by undersigned: a owner statement filed ❑
Undersigned aftes#s that his State of alifornia Contractor's License #
is in full force and effect and properlyn
# ' as this a
San Jose City Business License
I certify that in the performance h work for which this permit is is ued I shall not employ
any person in any manner so as fo vi
o a#e the workmen's compensation laws of California.-
OWNER
alifornia:OWNER LAPNN I'-
ADDRESS
'ADDRESS
USE OF BUILDING Sfo2 G'
FIRM SIGNED 64 A
280-10 (9-73)
1175 CRFSTI_TNF DR. Nnl . Yi
ITEMIZE THE FOLLOWING New Old
Ouflets Panels, Cabinets Size Service Conduit -
Switches Switchboards Size Service Wires 'Z
Receptacles �Panelboards Size Service Switch DD
Fixtures — 'Z''"�L_ Festoon Lamps Size.Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaterz KW Number of Circuits _ •'
Signs Transformers Motors Number of Meters
HP Phase—Ampere Loads q
r�v Lighting Powers;
Miscellaneous `• -Sf•
Rough Inspection B ��•
Y
Final Inspection /- `}—,7 ByO
Remarks:6-20'%S G7l �?t/1�o19G•r.Gta.y��' G? r6, G f3w��
c✓a� d y 2
/F.ti,o%e�