36633 1062 NOVEMBER DR.
v �..""•'ny s"vrh Building Permit Confirmed lZ}/
Not Required ❑
CITY OF SAN JOSE _J ILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT.4/.+92 j
• 6_?2_-----------------------
Dafe.-- �L�...---. ......
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19 Permit No...�._G
The undersigned 4 ieb makes application to the Electrical Inspector of the City of San Jose
for a permit {o instgll yl '1 ix}u e'lpnd r w�tino)aS te�nvt�e reverse side.
E.emp+ion from req trema for Sfate f•C11iforniiraAoroCZreefor's License is hereby claimed
by undersigned. - as owner ❑ statement filed ❑
Undersigned attests chat his State of CaJifornia�ontrac+gr's License #'
is in full force and effect and properly eufk!ri¢ssfhis appjed io`� //j/��
San Jose City Business License # V �r///R'
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 ��-
ADDRESS4)6
J
USE OF BUILDING
FIRM 253 4 g / SIGNED&& -Ci
t 280-10(9-73)
inn? WVFMRFR DR. H.O.
ITEMIZE THE FOLLOWING New Old
OutletsPanels, Cabinets Size Service Conduit
Switches7i Switchboards Size *Service'•Wires
,
Receptacles _ {"3_Panelboards ." Size Service Switch _ 1�
Fixtures2�� F.es{oon Lamps Size Sub Feed Conduit
ar�% y Lamps - Dryers KW
Y Size Sub Feed Wires
. Ranges KW Heaters KW Number of Circuits _
Signs: Transformers MotorsNumber of
Meters
HP Phase A re eLoads.- y�ighting Power
Mi
Miscellaneous ^� Z - '�.P
Rough Inspection _ Z-0, By
Final Inspection _ — V— By
Y
9' 2.L– 7S`- 'S'vr�y,�irw.o,.Q.�t� "✓SOv g•- 23�7✓`� N/^y Crr-�l`eC
17- 7 4--7s d