89604 1661 Galaway,
Building Permit Confirmed i r
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
--5j.
Date.. 6 _ �•5 19.1�.. Permit No.... .. .._._............
-..
e undersigned h "ab makes application to fhe Electrical Ins ector of the City of San Jose
fora permit to install cl tr' i / iri 'sfe�he reverse side.
E+emption from req � e a r ' o ctor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ •/
Undersigned attests that his StateC rnia�yCo]ntractor's License
is in full force and effect and proper! ,as// p ist nn.
Y
San Jose City Business License # / tr/—! O
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 the workmen's compensation laws of California..y—
OWNER -� �a(�,c ^��6C�✓
ADDRESS
USE OF BUILDING ��
CUP�IRMINO ELECTRIC , INC .
SIG
avenue �+
Sunr,ZA 11 Ggujd,j9rnia 94086 Cupert n `�'
ITEMIZE THE FOLLOWING New d
Outlets -SCJ Panels, Cabinets Size Service C/oonduitY10
witches 7 Switchboards Size Servicer
Receptacles Panelboards Size Service Switch
3`e Fixtures _; � Festoon Lamps--Size Sub Feed Conduit
for Mercury Lamps Dryers KW Size Sub Feed Wires
1- 7.6
7-t Ranges KW/_;7_2(Heaters KW Number of Circuits _--
75/Signs Transformers Motors --? Number of Meters
HP Phase / Ampere Loads Lighting Power
lyi'ftough Inspection _ �(--�//���-'LJ By /W, (.7ic.o
'
Final Inspection —d' -"�o By W
Remarks: �-//_CA> p�-