63113 y
X7561 Newcastle
Building Permit Confirmed
Not Required 1 .❑
CITY OF SAN JOSE �-,21_ BUILDING DEPARTMENT
APPLICATION FOR�/ELECTRICAL PERMIT
Date.................]- O--_79i.---.... 19.7 Permi+ No.------------- ----........---
The undersigned hereby m s I' EI el gs } r of the City of Sen Jose
fore permit to
i.,tell
electric reverse side.
Exemption from requirement for ate of alifornia for Contractor's License is hereby claimed
by undersigned: as owner AA statt n}'filed r❑
Undersigned aflexts that his Sfe&e of Celifo is acf}IiS'7Sj/�y pt.is in full force and effect and properly authorise i pplica 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 ole&I r m 's compensatioon °ws of Celifor
OWNER 1 L S B A'���
d ADDRESS 7SGI NP�JCo� lh^��
USE OF BUILDING
FIRM 152 320/ SIGNED 2 K20 !
7561 Newgc� t$e Q 9
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets' Size Service Conduit
Switches Switchboards Size Service Wires E ,
Receptacles Panelboards Size Service Switch It 16-0
Fixfures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters 'KW Number of Circuits
Signs Transformers Motors Number of Meters I _
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection B
Inspection y
Final Ins '
P ��/�78 By -
Remarks: 'J—/8_ ���
��/` 280-201n