3031 '8051 Presidio Dr. —/
' Building Permit Confirmed LTJ
No} Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date----------------------- ,�-^.2-.?...... 1920- Permit No.---3.P3/------------------------------
The undersigned hereby/m�4o;�appli<a'tio0Q o fhex`ElectricelTlnspector of the City of San Jose
for a permit to install ela rrical0fixt'uresa�d%o'r1L oi'n'ng�sylisteed�on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑} statement filed Cl
Undersigned attests that his State of California'ConfFactbys Lien 2 7 -T 1/a 3
is in full force and effect and properly auAo�ix�ehis liiafion.
San Jose City Business License # '`f -h I f- y
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 �`c Zr a A Z 9c_ c t
I J
ADDRESS -5 / Pre < ib ' n A� euyo PY ha
USE OF BUILDING
FIRM S� c etct9 l'm n L c SIGNED r2
280-10(10-69)
8051 Presidio Dr. Secard Pools 9
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panel boards Size Service Switch —i00
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 4_Number of Meters--
H
eters
HP '��y�,-, 70ase Ampere Loads' Lighting Power
Miscellaneous S';ti � � in P12 1
L
i
Rough Inspection By
Final Inspection
Remarks: / y
I dl
Q, , I P'4
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