241411102?''"J 'Way Building Permit ConfirmedoEJ,
�` Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
AP/IPLICATION FOR ELECTRICAL PERMIT
,(
Date .......... .. --- ... ..... 19....---. Permit No...,-)-.v/-./--------------------
The undersigns lic�tn i}/�lecirical Inspector of the City of San Jose
for a permit to i ri r� as listed on the reverse side.
Exemption from req ement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑/h
Undersigned lasts that his Statliforni o t c oys. License
is in full force andd effect and proper rae
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 of California.
OWN
ADDR
USE f
FIRM
280-10
ITEMIZE THE FOLLOWING
? New Old
Outlets
Panels, Cabinets
Size Service Conduit _
Switches Z
Switchboards
Size Service Wires _
Receptacles
Panelboards
Size Service Switch
Fixtures /
Festoon Lamps
_
Size Sub Feed Conduit
Mercury Lamps
Dryers KW
_
Size Sub Feed Wires
Ranges KW
Heaters KW
_
Number of Circuits
Signs Transformers
HP
Motors
Ph
—
Number of Meters
e—_":r
ase Ampere Loads Lighting Powe `�
Miscellaneous .3
c��GcJi
Rough Inspection
Final Inspection
Remarks: % -(-) O
By