6839 1134 Kentwood Ave .
— ' ' Building Permit Confirmed El
Not Required IWC
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date--- CJ-------------------- 19..70 Permit No. .. .tm
----------------------------
Th.
- .... --
The undersigned hereby ma s application to the c r'ca eaer of the City of San Jose
for a permit to insfall electric ' f rin a o the reverse side.
Exemption from requirem r e a' ni f r on ra cfor's License is hereby claimed
by undersigned: as ner ❑ statement filed ❑
Undersigned at!esfs that his State of Califor dors ns
is in full force and effect and properly authorizes f s licatip�
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 manner so as to violate the workmen's compensation laws California.
OWNER :SIAJ = dlUb Hf],ec-RRCT C Kt
ADDRESS 113q
USE OF BUILDING OOH E c 1U G " ,F/A N L_�
FIRM ` SIGNED / ���
260-10( 1134 Kentwood Ave .
M. Parker
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch
A—
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers L KW IKSi:e Sub Feed Wires
Ranges - KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters _
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection /D',Z$ 7(� By
Remarks: � --���—