30933 1124 Kentwood Ave. Building Permit Confirmed tf�/
Not Required `❑
x 'CITY OF SAN JOSE + DEPARTMENT ./
APPLICATION FOR ELEC CAL^•"PERMIT
(�✓may _ ,.. '
Date---.-il..,l.....r.......7 `/ ---------- 19------ Permit No.--3_U_ �� 3
The undeisigned:hereby,makes application to the Electrical�I nspector of the City of San Jose
for a permit to•install electrical fixtures and/or.wiring as listed ori,the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner )]c statement filed ❑ '
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorizes^this application.
San Jose City Business License #
I certify that'in the performance df'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.
OWNER Gwi�/l� I GSe/ llF
ADDRESS
USE OF BUILDING ��
FIRM SIGNED .� �-
280-10 (9-73)
1124 Kentwood Ave. H.O. /
ITEMIZE THE FOLLOWING New old ,
'�-:outlets 'I
Panels, Cabinets Size Service Conduit
Switches 2 Switchboards _Size Service Wires
Receptacles �_Panelboards Size Service Switch
Fixtures _ >Z Festoon Lamps Size,Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires ;I
j
tl Ranges KW Heaters KW Number of Circuits
aSignsTraansformers Motors Number of Meters
HP ffC Phase Am ere Loads
P 8 Lighting Power CD
�- Miscellaneous
Rough Inspection 17- 7-� By ZJ
C' Final Inspection 3
Remarks:a-rL-� By
—(10- "m?1LE
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