77660 1141 Kentwood
CITY OF SAN JOSE BIDING DEPARTT
APPLICATION FOR ELECTRI I PERMIT
Date .. / 7? -- - ..
K........ ....... ......
AK. 19.bS Permit No..---- -----__..........._-----.....--------_.....
The undersigned b'y,mekesaPPlic tion #o the Electrical Inspec#or of the City of.
San Jose for a permit to i s i el fi u �ap�+/6D wiring as listed on the
reverse side hereof, and agree a ur and wiring in accordance with
the provisions of Arficle VIII, Ch far 3, of the San Jose Municipal Code, and other
laws applicable }hereto. � w Mit
s
I certify that in the performance of the r or � t sperm i is ed I shell not em-
ploy any person in any manner sso.as to violate the workmen's compensation laws of Calif.
OWNER G?2e --a//cX 61 �
ADDRESS �W✓/d a /Iry �7na! /ash
USE OF BUILDING df-s 40 C- -r?— Sii' a"�
FIRM Signe .-._ ...._....-...
Form 280-10 5/65 10M
t
1141 Kertwood �:y'-219—Ja-r.
Murray
ITEMIZE THE FOLLOWINGy-z5 )ow . �lw `"� New Old
-
Outlet Panels, Cabinets Size-Service Conduit�
switch �"' Switchboards _ Size Service Wires �—
Receptacless 7 Panelboards Size Service Switch ilJ�
Fixtures Festoon Lamps Size Sub'Feed Conduit
Mercury Lamps 'Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of'Circuit s
Signs Transformers Motors Number of Meters _
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection
By i U�
Final Inspection 1 Z—..7.. By
Remarks: Z.— ,1-
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77
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