870521191 Kentwood
Building Permit Confirmed LI/
Not Required r
CITY OF SAN JOSE - BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date -- -----------��----- ----------- 19.\0..1. Permit No.�.7.�-A ------------------------
The undarsigne hereby makes ayPli�a+'o e c 'e L s e¢� of the City of San Jose
for a permit to nista electrical fiJL ea/a o r es T {/h�e�ievarse side.
Exemption from requiroman+ for Sta+e+e f California for on rac ors License is hereby claimed
by undersigned: - as owner ❑ statement filed ❑
Undersigned d offs that his State of C p11 .0 - ps�L e e6�
is in full force and affect and properly au4h s 1s a
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any ma near so as to violate xia workmen's compensation laws of California.
OWNER "CAN
ADDRESS
USE OF BUILDIN
FIRM
FORM 200-1012/al) 10M
113L Kentwood
NED
Beymer
ITEMIZE THE FOLLOWING
New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size'Service Wiresr
Receptacles Panelboards - Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW y�_Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Transformers Motors Number of Meters -
HP Phase Ampere Loads Lighting
Miscellaneous
Y�
��
_
Power
7oughpec+ion
ection I6y
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