62945 7533 KINGSBURY If CT"
i •: t' Building Permit Confirmed
raj Not Required
CITY OF SAN JOSE BUILDING DEPART
s
APPLICATION FOR ELECTRICAL PERMIT
Date----(- f .a.a-------- ------------------- 19..PPermif No.. - ' TOG:
The undersigned hereb makes application to the EI cfrical Inspector of the City of San Jose
fore permit to install ctf' rr n w9ist he reverse side.
Exemption from re re a o/5 0 ori c}or's License is hereby claimed
6j� undersigned: as owner statement filed ❑
Undersigned attests that his State of Cali rnia Contractor's License #
is in full force and effect and properly author i applica ' � �
San Jose City Business License #
certify that in the performance of the work for which this permit is issued I shall not employ
�� rson ' m-}o-riole}e•tha-workmerrreompensafion_laws-of-Gelifornia.
.• OWNER
ADDRESS 2 ' rs)� uy 1
USE OF BUILDING "^
FIRM a s s 3 3 1 SIGNED
)7 2 -201n
33 KINGgBLM Cr r ; 4911N�QN `
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
'Switches Switchboards Size Service Wires
-Receptacles r7 Panelboards Size Service Switch
Fixtures a- 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
eters _HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspecfiori' n p By
Final Inspection /- s- 'ZS By
Remarks:
280-201n