73034 7767-L11"SANJ
Building Permit Confirmed IP(
I
Not Required ❑
CITY OFSE /o—L/--� 9 BUILD NG DEPARTMENT ;
APPLICATION FOR ELECTR�ERMIT
Dafe....R � � �/-...._------------------------ 19./, Permit No- ------ .......
730-?
�s The undersigned hereby kes application to the Electrical Inspector of the City of Sen Jose
for a permit to install elec ca izl / �,�j j�i + a e verse side.
Ezemp+ion from requir n o o 4i/brnf)t(efLicense is hereby claimed,
+ by undersigned: as caner ❑ statement filed_ E , /S .
Undersigned attests that his State of C for Contract is nse C2
is in full force and effect andproperlyauf or �njyµJ.,s
r San Jose City Business License # ✓ "" p(e�� T
I certify that in the performance of the work for which'+his permit is issued I shall not mp yr,
any person v 1^an's'°°^s Com!
OWNER
ADDRESS �� W
USE OF BUILDING/� �— �/ r
.FIRM c� Lwed� �� 1/ SIGNED l /�
280-201N /�•
7.363 L�Iac 7
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit t
Switches / Switchboards Size Service Wires
Receptacles 13 Panelboards Size Service Switch _�� ,✓'_
Fixtures . 1. Festoon Lamps. Size Sub Feed Conduit i
,Mercury Lamps Dryers KW Size Sub Feed Wires
.Ranges KW Heaters KW Number of Circuits
Signs Transformers Motors Number of Meters
HP Phasekrm ere,Loads,� 7
p /_G_Lighting Power
Miscellaneous
Rough Inspection — //q• l/frr 701 By _5e
Final Inspection /(f— 4-'�%ry
BCoey-
Remarks:
Remarks: S7 y `9
S- 3'C�N •St✓vrc.Q okQ.(�
/-/r' /9 s6ia AS
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280-201 N