12795 8060 Park Villa Circle
Building Permit Confirmed
zY7 v Not Required-
CITY OF SAN JOSE BUILDING DEPARTMENT
.- APPLICATION FOR ELECTRICAL PERMIT c
7/ I QJ
Date-------------��_ - L4-------------- 19../1. Permit No.--------_..1-- .�.L.------...----
The undersigned hereby s application o the Electyical Insp§c}or of the City of San Jose
fore permit to install eloct t fio. s a� wiri��as^ji�ed�a�the reverse side.
Exemption from requiremont foP+State df Callfornia4Ffoikr4Tontractor's License is hereby claimed
by undersigned: as' owner ❑ statement file
Undersigned attests that his State of California Contractor License # o-
is in full force end effect and properly author'es th.rs opp11 r - 1.
San Jose City Business License #' ��� �
1 certify }hat in the performance of the work for which this permit is issued 1 shall not employ
any person in any man er so as to violat the workmen's c mp sation laws of California.
OWNER
ADDRESS z;0
USE OF B}1 ILDING_T_.
FIRI�I��C./' n �/ SIGNED�/cG� G� eco 7zu�C_
280-10
9
8060 Park Villa Circle Hill
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit/7L >•^'�
Switches �7 / Switchboards Size Service Wires
ReceptaclesPanelboards Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduit+
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW ''umber of Circuits
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads 0 Lighting power
Miscellaneous "W
Rough Inspection _ i- / _ 7 pyFinal Inspection Inspection By
Remarks://-yy�Y� ' J of/(/7'5.
PAfGE
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