88688 7639. Prospect
Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.. / ._ Z �. h 29('k
--------------' --------.-.. 19. .-/ Permit No.----------.-...-----------------------
The undersigned h "a5sra..t`r.r
lic ion #o }he Elecir' Inspector of the City of Sen Jose
for a permit to insta cld w on #hc reverse side.
Exemp#ion from rr Con#rector's License is hereby claimed
by undersigned: ❑ statement filed ❑
Undersignedattests #ha# his State of C for Contr �}or's License 's
is in full force and effect and properly au 4 r' is a k n
San Jose City Business License #
I certify }ha} in the performance of the work for which this permit i Issued I shall not employ
'
any person in any manner so "s to violate the workmen's cQmpensa}ion laws of California.
OWNER
ADDRESS
USE OF BUILD NG f
FIRM ^ SIGNED
FORM 200.10 (2/9]) IOM ,..I
7639 Prospect Christin 7
ITEMIZE THE FOLLOWING 3.0o New Old
Outlets -Panels, Cabinets Siie Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch 004
Fixtures Festoon Lamps Size Sub Feed Conduit I
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 By 7JZ`
Remarks: /�