57930 1034 Pennington
. Building Permit Confirmed �
Not Required ❑'
CITY OF SAN JOSE BUILDING DEPARTMENT
` APPLICATTIION FO/R�ELECTRICAL PERMIT
Da#e-..._.. -a✓------- -!.-._.---- 19./-- •fermi# No......" .....�-�JP---------
The undersigned herebytmakes �p�litati�nr to the EI ofr��l�lrjspe for of the City of San Jose
fora permit to install elecfricel/ibdures nsd/ar wiiin s listed on the reverse side.
�s.� ✓sI
Exemption from requirement for $fate o{ California far Contrecfor's License is hereby claimed
by undersigned: as�owner 0 if.ment filed
Undersigned attests that his State of Celifornla/Contractt ijokllcemrw .
is in full force and effect and properly ihoriiaslihis'eppliq�aytion.V
San Jose City Business License #i_ 70
I certify that in the performance of the work for which this permit is issued I shall not employ .
any person in any manner, so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS 34� 1;lr'7—ovy Z A10
USE OF BUILDING
FIRM/4/t/.C7/I� a4455Xn6C- SIGNED
280-201N
1034 Pennin(3ton � , Andre
ITEMIZE THE FOLLOWING New Old
Outlets 3 Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Z Panelboards Size Service Switch iaA
Fixtures 3 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges_�_ KW 5 Heaters KW Number of Circuits
Signs Transformers Motors Number of Meters
FIF - Phase 'Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection B
Remarks: (/—fLT1� Y
280-20 IN