3853 11Z6 Kentwood Ave /
• Building Permit Confirmed �Y
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date-------y.T-Zi---------------------------- 19--?0 Permit No..,U4----------
undersigned hereby m e p i' n ih ect is pector of the City of San Jose
for a permit tc ins}ell electri a i s i • d n the reverse side.
Exemption from requirement for ate o Ca ifornia�r ontrector's License is hereby claimed
by undersigned: as owner Aste}amen} filed El
Undersigned attests that his State of Califor C ratio c ns
is in full force and effect and properly authorizes } a plic i n
San Jose City Business License #
I certify that in the performance of the work for which this permit is issue I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER AA /4 ` �2 �4 0
ADDRESS // �?- 6 �P H fltJUl�d A ,S rT,
USE OF BUILDING
FIRM SIGNE
260-10(10.69) ^
,. 1120 Kentwood Ave Karl C Jones U�'
ITEMIZE THE FOLLOWING New Old
Outlets
Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles--1—_panelboards Size Service Switch _/_D_Q_1,4L9
Fixtures
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-.--I
HP Phase_ mpere Loads Lighting - Power
Miscellaneous 41 „r ' f —M /n C-(?,/
Rough Inspection .S Z�i7- �y By �.
Final Inspection p �, '?. -7d
By
Remarks: -
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