89604 1697 Galaway l�
Building Permit Confirmed I✓.
Not Required ❑
CITY OF SAN JOSE � —�� BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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Date _ .....02..5--- 191o.Q. Permit No.---4;.f---
undersigned
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undersigned her ak s liti to Iect ' Inspector of the City of San Jose
for a permit to install el }r' . ur r r' a $
} on the reverse side.
Exemption from requ, ement or State of California for on
License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ 7 /
Undersigned attests that his State forla r r s
is in full force and effect and proper y ,O es i�p
San Jose City Business License # ��3f0
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 A workmen's compensation laws of Califgrnia.
OWNER �^L• ccs �ia <_
ADDRESS
USE OF BUILDING ��/ -
CUPrpTINO ELECTRIC,
FIRMSIGNED GG
�— C�Funk9hp.a arnia 94086 Cupertino
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Servic
e -
t
itches ''? Switchboards Size Serv7eceptacles �5`� Panelboards Size Servic
Fixtures =�U Festoon Lamps Size Sub Ft
/�Mercury Lamps —� Dryers KW Size Sub FRanges KW j__7/ Heaters KW Number o _
X'Signs Transformers Motor�s/_ —Y Number of Meters—/—
HP Phase_�y Ampere Loads Lighting Power
/f, ough Inspec+ion 7"���/��,r� By
Final Inspection �— c?"lLt'+ g
�y
Remarks: