254011102 Milky Way
Building Permit Confirmed ❑
3 Not Required a -
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dater.�*...��._........'---. 19-77,3 Permi# No- ------------ -- --------------------------
The undersigned hereb makes application to the Electrical spec}or of the City of San Jose
fore permit to ins}ell el r' a f' o r in a li fhe reverse side.
Exemption from re ' e e o if ' i r rector's License is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his State of C for Conlr�er�� o
is in full force and effectUsines and properly au
San i
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.
OWNER %LiJAdGO,
ADDRESS 07— 1Ll(.y UjAay
USE OF BUILDING ySl�1AS �'11��/ �
FIRM 4 1 QB&4 ' � SIGNED
zea to ,
1102 Milky Way Gotelli
ITEMIZE THE FOLLOWING
New Old
Outlets
Panels, Cabinets
__ �4940ze Service Conduit
y
I Y
Switches
Switchboards
Size Service Wires
Receptacles
Panelboards
Size Service Switch
Fixtures
Festoon Lamps
Size Sub Feed Conduit
Mercury Lamps.Dryers
KW Size Sub Feed Wires
Rangez KW
Heaters
KW Number of Circuits
Signs Transformers
Motors Number of Meters
HP
Phase
Ampere Loads _
pLighting
Power
Miscellaneous
Rough Inspection
BY
Final Inspection
/"-9—'�---6Y
Remarks: