66115 77044rogrande p001 Buildin[f Permit Confirmed 12r
:ir-. x '° '• f' � i Not Required ❑
CITY IOF SAN JOSE:,'«c r,' •�� BUILDING DEPARTMENT
/� APPLICATION FOR dELECTRICAL PERMIT 4-6 6E t Z
'De+e ...LS/�z..7.------------------------ h D. Pernni+ No.
...CKAI!5. -----------------
.
The undersigned hereby makes application to the ElectricrInspector of the City of San Jose
for a permit }o insfal I..e.7f ��e�srsnd/ttr�virio�as lide�n the reverse side. '
i
Exemption from Lqui[ar[�n or State of.S:alI ma�fov�Con#rector's License is hereby claimed I�
by undersigned: as owner ❑ statement filed ❑ G
Undersigned attests that his State of CgJ fornia Contractor's License 3 S2-
$y�
is in full force and effect and properly auf tr4l. its ap i iop•/%% '/
San Jose City,Business.License"# 0 ��/ -
I certify that in the performance of the work for which this permit is issued I shall not employ
any person .
OWNER /-}AR.. F
I' OfZD/�I
)6 . ADDRESS /7O Q(TyGKAt%)DE
USE OF BUILDING {
FIRM��E F�-rG<M14e}Al.,� SIGNED
COAvJ - ; -
260-201N
Rus y9-
ITEMIZE THE FOLLOWING : New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards .Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps DryersKW Size Sub Feed Wires
Ranges KW He KW Number of Circuits
Signs Transformers Motors _7L Number of Meters _
i
,i
Miscellaneous Phase Ampere Loads .�Lii'g��hfJling - Power
Mi , SPQGt t'ifL :4J7P
Rough Inspec+io , �� —
BY
Final Inspection -•
Rem arks:40-P%p �-2�(C f f/ By
Re
f � l,�t/X/Pid.g/l�i,�.�J�i rup �„/tc�. D o•.
P�LF( S,>..� lre �al!//Kc G���/✓r-'d`�y���/�,n �f�_. ..
- 280-201N