17633 902 Ft . Baker Dr . —/
Building Permit Confirmed (�'
O Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL
7L/ PERMIT
Date Permit No.l --R-3-3
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The undersigned hereby makes application to the Ee trical Inspector of the City of San Voso
for a permit to install el rifer flV a d orjw�{ri listed on +he reverse side.
Exemption from regelbe��J/fo» abf Cal7forn �r Contractor's License is hereby claimed
by undersigned: Pas own�j�[J q�tt e it d
Undersigned attesfs that his State/ f� alifornia �/3atoFi.L� z-.3oo e�
is in full force and effect and propertr`aa,u�zes this application
San Jose City Business License ," 0 0��
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any mma/n9er so as to violate the workmen's compensation laws of California.
OWNER JY9W-1 LlLG�
ADDRESS
USE OF BUILDING __
FIRM 46tAQ�SIGNED�
280-10 ��r/8 / �%J a6e
Giy�� �flc9
ITEMIZE THE FOLLOWING New Old
OutletsH
Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch QO
Fixtures _/ 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 s� /� Phase --Ampere Loads?-z Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection 4 0 a By Pe
Remarks: 7Z - �H� .wed h��7 CMI• ��o� �,.f AYE 'D.�