39778 1002' KNNMOTiE CT'.
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE &"ING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date_/1 - �_-------------- ----------. 19./7 Permit No.-----7.-q--7 -LJ.-----------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Josa
for a permit toinsf f 'x /o a s on the reverse side.
Exemption fro r i o ntractor's License is hereby claimed
by undersigned: as owner statement ailed
Undersigned attests that his S1 of California Contractor's License '
is in full force and effect andP ro rl a i P Sf, C�
San Jose City Business License
I certify that in the performance of the work for which this ermit is issued I shall not employ
any person in any manner so as to violate the workmen's om ation laws of California.
OWNER 11ylA�FatilO
k b o z C'f
ADDRESS {�c6� ��ofZi
USE OF BUILDING_�_�
FIRM- SIGNED
leo-to Q'
1002 KFNMORF CT. B-A PMR- . 1
i
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit 4Switches
Switchboards Size Service Wires
Receptacles Panelboards Size .Service Switch /7�
Fixtures __/ Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
G
Ranges KW Heaters_�„KW _Number of Circuits
Signs Transformers ' Motors Number of Meters _!
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection —16 '7j—� By f�
Final Inspection B '.
Remarks: y