42188�� Je 333ZC �BER�WAX,()
CITY OF SAN JOSE
APPLICATION FOR
Building Permit Confirm
Not Required ❑
BUILDING DEPARTMENT
ELECTRICAU- PERMIT
Date rS......----------
1-3 ---------- ------------ 19_x`. Permit No.-:��/SQO--------- ----------------
The undersigned he y makes/ ppl�wtiynDtdAh��F eyirical Inspector of the City of Sen Jose
for a permit to install ele£jjlc�afizt�ies.er�d,a�.•''�sydngjai listed on the reverse side.
Exemption from requneWnt for State`o�f"Calif.rni. for Contractor's License is hereby claimed
by undersigned: I as owner¢. statement filed ❑
Undersigned attests that his State of�EaliforniaContPe'} bicen`se # is in in full force and effect and properly euihorizes/�hlsr�pll often
San Jose City :Business License # l�
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in anyTanner so as to violA fe the workmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING
FIRM
280-10 (9-73)
,z5�—G511
7933 0 1Rrp wAv
yru'YV Al I-). L.j C-60 L/
ITEMIZE THE FOLLOWING New Old
Outlets
Panels, Cabinets
- Size Service Conduit
_
Switches
Switchboards
- Size Service Wires
Receptacles Panelboards
Size Service Switch
_IWC
Fixtures
—I 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 —
,.
Phase'
Am eye Loads
P $C—) Lighting Power
Rough Inspection .Z —a-4. —_7 By S�
Final Inspection(7t-22 — / 6
Remarks: _9 y