22808 1673 Galway _ /
Building Permit Confirmed fid'
No} Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date------------------------------ �. .L��'. 19J.?t Permit No----- a..;
The undersigned ffjj��r�Yr- u
o the Elecfrical Inspector of the City of San Jose
for a permit to insf�}1 p (v' in Isfed on {he reverse side.
Esempfion from a or Contractor's License is hereby claimed
by undersigned: statement filed ❑
Undersigned attests that his Stat�gqrr��QQ++++f California Contractor's License #
is in full force and effect and proper?y�'rixes 4! ,e�pl' t' �
San Jose Ci fy Business License # r �,1
I certify that in the performance of the work for which this p mit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER ` t
i
ADDRESS (b .Q f^' '"
USE OF BUILDING / i
FIRM RL�, �,AAJJRA / '; SIGNED
280-10
9
ITEMIZE THE FOLLOWING New Old
Outlets J Panels, Cabinets _Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch I U z'
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
eters _HP I Phase Ampere Loads Lighting Power
Miscellaneous
r '
Rough Inspection By r
Final Inspection _ I — I ��7 gy
Remarks:
7L, rte- -5� �/ nxtL- Q,p•.. O 0 CL �// / 7