NO PERMIT NUMBER (3) ITEMIZE THE FOLLOWING New _ Old
Outlets 2 Panels, Cabinets Size Service Conduit
Switches Z Switchboards Size Service Wires Y!Z
Receptacles 6 Panelboards Size Service Switch ' 00�
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
HP Phase -Ampere Loads Lighting Power
Miscellaneous
Rough Inspection —G Dy
Final Inspection �+ 7- y—(. G By
Remarks:
AV
1145 Kentwood
CITY OF SAN JOSE LWLDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date ......-- _.......19.�Oo�_ Permit No........c �aJ� J
....-------------......_.
The undersigned hereby m"toi
ti tha-�leytr inspector of the City of
San Jose for a permit to i� u n r wiring as listed on the
reverse side hereof, and agresaid fixtures and/or wiring in. accordance with
the provisions of Article VIII, Chapter 3, the San Jose Municipal Code, and other
laws applicable thereto. �/
I certify that in the performance of the wor li whicdi ermit isiss' ed I shall not em-
ploy any person in any manner sodas to violate the workmen's compensation laws of Calif.
OWNER /r • 7�W(SL
ADDRESS
USE OFF BUILDING /a6c��Gsrr� n
FIRM ". _ �,Q,Q � / .p[y
Form 280-10 5/65 10M Signed '- -"e--
I
1145 Kentwood Foote