89950 8087 Presidio'
Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/ 9�saspt
Date- .Q-- -L fir... ------------ 196S'Permit No.-F9�-2`5 ---------------.._---
The undersigned hereeby�rrjakes�Rplice�tio fo. e�El ctrro.Inspec#or of the City of San Jose
fora permit to install eQle jica filfures and 1r�u;gJW�listsd✓on the reverse side.
Exemption from requnemenf for State of California for Confrac#or's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his Sfate/of alifornia Contractor's License #
);X is in full force and effect and properlya,uf rrizes fhis f�pp n.
San Jose City Business. License f
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 theworkmen's c/compensation laws of California.
I OWNER __f11� CLL� q
ADDRESS tY170"Z
USE-OF BUILDING
FIRM S SIGNED
FORM 200-10 (10/67) 10M
8087 Presido Kubin {/�
ITEMIZE THE FOLLOWING Blew I'd
typ l-0cz� �
Outlets _% Panels, Cabinets Size Service Condui} _1;4 _
Switches a2�yy�" ' _Switchboards Size Service Wires �y
Receptacles _O--t Z Panelboards Size Service Switch /00e-"to _iO&+ e
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
eters _HP Phase,—Ampere Loads Lighting Power
Miscellaneous
Rough Inspection —�� By
Final Inspection S ,—ig-� Byi /sA.�
fy�R�emarkz:3_s bq�, jl /J '
3�-c d o.e,���o-•,-.-�,�1-13-64•/J^ .-�Gwtr�rt/ t,,,� �ri:..