13120 8166 Park Villa Circle
a Building Permit Confirmed jyJ
Not Required ❑
CITY OF SAN JOSE 7 -7 --- BUILDING DEPARTMENT
APPLICATION FORJLECTRICAL PERMIT
Date—................-----.�1-� . 19..C.�. Permit No.,---------...-----..II � _
The undersigned hereby m es ep"Qllitati fo�+h9 El�cfrl pector of the City
of San Jose
for a permit to install electric k{ialdrosrend er 'icing s/listed on +lie reverso side. �777��I(��a���`}}}CCeY/s/-/�J/ry/
Exemption from require menf for State of California for Contractor's License iris hereby claim V
by undersigned: as owner ❑ statement filed ❑d i] �f
Undersigned attests that his State hof Cals�niaAC��rac�P�s/Li se
is in full force and effect and properl4auf&rites thiss/applicaf' n��7 q,�7 ,--7 J�
San Jose City Business License # �-/�/ �/ `� 5 -�L—
1 certify that in the performance of the work for which thio permit is issued I shall not employ
any person in any manner so as to vi late the workmen's compensation laws of California.
OWNER
ADDRESS
i✓
USE-OF B IN
FIR SIGNED
280-10" G
3166 Park Villa Circle Rpe130G Hill El . �-
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 Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Miscellaneous
Phase Ampere Loads 30 Lighting Power
� /�
7
Rough Inspection By
Final Inspection 67.92 By j
Remarks://.-2y- •kKt�e.'' '•.G ili dn�...Y'�.ev. o/�-///—.2G•�2.�2cAitr-..e.�
lee 112;04
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