86061 7985 Folkstone
Building Permit Confirmed 0'
Not Required ❑
CITY OF SAN JOSE (� -ICIB=UILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date-- ---------------L7---/------------- 19-6.7 Permit No.-------------4NO-�.6-/------
The undersigned h (e y ke ap li eti i pffJe�I tricaI Inspector of the City of San Jose
for a permit to ins#al iiusa nd� wrmFr¢ s lis#ed on the revers. side.
Eiemption from r.goirerq n} for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his S} <yliform,,QQ��//���� � r//1�X��ie nl
is in full force and effect and pro er u} pr ca
San Jose City Business License ff-- /D;t-
1 certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate thoor men's compensation laws of California.
�
OWNER S S ��S�gwI Ge tir- '1�-1 -- S c
ADDRESS + �— 7 Or
USE OF BlLDING S I r �• • ��r
cups. INJ LLECTIM , (' t i
10601.WSI S :atog2�"^nYvale Rd. _ SIGNE
F0"UU1 PVrhff&•ICa1lfOrnia
7985 Folitwtone Cupertino
ITEMIZE THE FOLLOWING rI New Old
i0
utlets panels, Cabinets Size Service Conduit
1y witches Switchboards Size Service Wires
`Receptacles Z-1 Panelboards Size Service Switch l0_vl_
&""Fixtures J�_Fesfoon Lamps Size Sub Feed Condui4
I°V'Mercury Lamps 77 Dryers KW Size Sub Feed Wires
Vr/ Ranges Z KWq,_4 Heaters KW Number of Circuits
I�Signs Tr nsformers Motors 3 Number of Meters
HP
Phase _Ampere Loads _Lighting Power
sQ iscellaneous 5�i�_ QAC
10 ough Inspection By 1-1
Final Inspection �a ��/ n / g
Remarks: f�j• !/-�� � _ r '�•(.�.a• -�•+�- y /�
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0 L L rr o r r (37 tu� 3rr, �a /Ga,i Jy7S