32502 81(17 Fiark Villa Circle
Building Permit Confirmed ❑'�
Not Required �/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/ ,
The undersigned her!,�yrgak�os/applicp#iQn to Inspector of the City of San Jose
for a permit to install plectrcallestures 'nil or wiiing,asliissrt dtOlAir reverse side.
e
Exemption from requirement,pfor State o{ CalsforniadT.r Contractor's License is hereby claimed
by undersigned: Vas owner ❑ statement filed ❑
Undersigned attests that his State of ho,i.es California,* fr_adoion. icense01"
is in full force and affect and properly u}horixes.}his�ep lication./�`
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
x any person in any manner so as to violate the workmen's compensation laws of California.
\ OWNER
ADDRESS St CD / Al2-&
USE OF BUILDING
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FIRM-&kFd& K- -TIZiC L IGNED
FORM 2001, (FEV. t> ?5
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WlA�llldab RhbalEss; `PSO l.,C uEsT12o AVE x V/IJ
8107 Park Villa Circ SpN -43-0sjE 9J/,Ojhlers Elec
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles - Panelboards Size Service-Switch 16VA
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Transformers T Motors Number of Meters ,/
HP Phase Ampere Loads Q_Lighting.sjz� Power
Miscellaneous
I — '3µi f� ncw5anoW�ir_
Rough Inspection py
Final Inspection . 7- 3 / �,t� A gy
Remarks:
,p /t7"zZ'�C� /-4CA ' 4t
3 ,X0071'
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