69435 7647 Prospect Rd.
Building Permit Confirmed
No} Required ❑
ITY OF SA J � BANG DEPART
ea
IGG ATION FOR ELECTRICAL PERM`IT
-'- ---�.Q ---..`.`-_ Permit No..--.'_.-7 ` ��-:--------
ersigned herab m kea plication fo the Electycal Ins a for of the City of San Jose
toins}allc / irin as lis d e reverse side.
n from reZ=.e n a o c}or's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑
Undersigned at!es}s that his al'fornia Contractor's License
#'
is in fu 11force and effect and Pro perly a,f�oyrse applic
San Jose City Business License # �
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manners as }o viol ,Le he workmen's com pansetion laws of California.
OWNER /�
ADDRESS r 7 `�
USE OF BUILDING ��/n
_ J
FIRM SIGNED
280.201N y
7643 PrPqect Ad., j yernon /
l
ITEMIZE THE FOLLOWING New Old
Outlets �Zi Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch _
Fixtures /L 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 Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection _ �Z}�9 Byl-II
Final Inspection q-, 2,3-?-L-By
Remarks:
280-20 f N