25279 7561 Newcastle Dr. Building Permit Confirmed 0
xj of,Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
7
Date. , 11:'�Z.. . ......... ... 19. — Permit No..... —....................................
The undersigned hereby sap ice}ion fo ih F}e fr Inspector of the City of Sen Jose
for a permit to install elettr' el a iTg;Won the reverse side.
Exemption from require al' ori onirettor's License is hereby claimed
by undersigned: a owner ❑ statement filed
Undersigned attests that his State of Cal iforni Contractor's License # 7 YV
is in full force and effect and properly authorizes t a alio
San Jose City Business License #
1 certify that in the performance of the work for which +his permit is i,suef 1 shell not employ
any person in any mannero as to violate the workmen's compensation laws of California.
OWNER ���_lr-4L �
ADDRESS —� 5—e. / / Ale.,, i A dV& �) v
USE OF BUILDING
FIRM SIGNED
zao-m jS3 – y7� G p
7561 Newcastle,; Dr. Dougs 7
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires Z
ReceptaclesPanelboards Size Service Switch AOo
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers _/_ KW _Si
Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection B
Y
Final Inspection _ 9
Remarks: y