13594 8061 Park Villa Circle
Building Permit Confirmed 'ES,
Not Required ❑
CITY OF SAN JOSE R-2, 7 ,2-- BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dafe--------------------------------------/ -
191—,.2.
The
No.------------L.. ._$. aJ ............
The undersigned hereby/makes application to 4heo E�e4tri �spector of the City of San Jose
fora permit to install elactrie�alrfiduPes an'd/n%nx ir� as Uf the reverse side.
Exemption from ra qu. ement/fapriSfafero'f�California far Contractor's License is hereby claimed
6y undersigned: es owner ❑ statement filed n J
Undersigned attests that his State of Califorrr��ik Coniractor's License # r
is in full force and effect and properly authorizesyAis a'ppl_icatio� � � ay _7
San Jose City Business License #
I certify that in the performance of the work for which this permit is issuedil'shall not employ
any person in any annex so as to viol to }he workmen's com sett laws�o/ alifornia.
OWNER 2 ./v l/✓2Cic�
ADDRESS
USE OF BUILDING
FIRM N- ! !-: i- 1 JCAT.
2Be-l0C0I\T'I' ..., 'iC:iS-'UN 'r iVALE
8061 Dirk Villa Circle Hill El .
ITEMIZE THE FOLLOWING. —<=1qew- Old
Outlets / Panels, Cabinets Size Service Conduit �y
Switches Switchboards Size Service Wires
Receptacles Panelboardz Size Service Switch ! _
Fixtures _� Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wire �_
Ranges KW Heaters KWNumber of Circuits _
Signs Transformers _Motors Number of Meters /
HP Phase Ampere Loads 0�� Lighting Power
Miscellaneous ._A )
Rough Inspection _ .2 Ap-' L- By /ZIP --
n
Final Inspection /-, 'Z By
Remarks:
'�.�+ C./�.�.,.-..)„�,.e�G�if.,/.,.,,,��.en..�/ �✓ C�a,•nit.-�/-�/�..t,. �- etfv,.w�
PAPP