30795 1110 Milky Way;,% Building Permit Confirmed [f/
Not Required %
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dafe----------` ------`5--1----------- 19.7`_f Per,if No...�0 / .!.J`
-- -- --- --- - ------------------------
The undo igned c on fr actor of the City of San Jose
fora permit to install r x} a w' at is on }he reverse side.
Exemption from requirem n{ for State of California for Contractor's License is hereby claimed
by.undersigned: es owner ❑ rganf�
Undersigned a{tests that his State
of Calif n' tra D'CJ
is in full force and effect and properly a lhoriz thi applica ion.
San Jose City Business License #—. —070%f2.
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in an ner so as 4 violate the workmen's compensation laws of California.
OWNER
ADDRESS 0
USE OF BUILDING
FIR SIGNEDL
280-10(9-73)
1110 Millry Wa4 Wastern Air Cond.
ITEMIZE THE Qld.
Outlets Panels, CabinetsSize Servic Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch /va
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 __Numbe/rr /oof Meters
HP Phase Ampere Loads L Lighting Power
Miscellaneo II)1 L �, as �30D �,i a ,?S
Inspe
Rough Inspection
Final Inspection 77 By
Remarks: