235537,626 J Newcastle Dr.
CITY OF SAN JOSE
Building Permit Confirmed (!�
Not Required ❑'
BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT 201 0/*
-
Date .2 3 J-j�
Date.-- ?� .. 19.. Permit No. -----------------------------------------
The dersign herggby makes ppl'ca}ion }o theAlectrical Inspector of the City of San Jose
{ora permit to ins}ell fecfn Iy{!x} r /�n,d' rr ng s lisete on the reverse side.
Exemption from requiremn��j£ fo�ta'Afl .1.2n� K,?. }rac}or's License is hereby claimed
by undersigned: / as owner ❑ statement filed
Undersigned attests }hat.his State of California Contractor's License
is in full force and effect grid properly aut orizm•jhis�ppli alio
1�/ qyY
San Jose City Business License # �� `
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner ;o as to violate the workmen's compensation laws of California.'
OWNER
ADDRESS
USE OF BUILDING
FIRM
280- 10
SIGNED
iD-Fo 73.E -3a .%... '�.s.�'0�:. �i0kfi�,�.(.rd+'i-<p^,..,L' -� ✓�
ITEMIZE THE FOLLOWING
New
Old
Outlets
Panels, Cabinets
Size Service Conduit
Switches
Switchboards
Size Service Wires
Iv
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 Motors Number of Meters
HP .6
� Y Phase
Ampere Load�Lighting
Power
Miscellaneous(/�ht /2
n^
Rough Inspection 7
Final Inspection
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— By
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