71427'7521 RainI5 Ov-Drive
s, Building Permit Confirmed 0
-- Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
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APPLICATION FOR ELECTRICAL PERMIT
Date ------lL..................................... 19... .. Permit No ------ 7..�-?------------
The under" gnad hereb kes application to the Elec} ical Ins➢➢➢➢➢➢4444����rr����jj}or of the City of San Jose
for a permit to install al a iris as IJ d e reverse side.
Exemption from req r a ni n ctor's Lice e7is hereby claimed
by undersigned: s owner ❑ isstatements tilil-d
Undersigned attests that his Stele of Calif000���nia Co���nfree}or's License
is in full force and affecturines and properly au}horixgs fT�'Epplic ��^ O
' San Jose City Business License # % � 1 I
I certify that in the performance of the work for which this permit is ided I shall not employ
any person in any nner so as to violate the workman's compensation laws of California.
OWNER ��\�^,a12-
3�2; ij41;)p-Qw lrF Ye. T;ane.
201n O
ITEMIZE THE FOLLOWING
New Old
Outlets Panels, Cabinets
Size Service Conduit
Switches Switchboards
Size Service Wires
Receptacles Panelboards
Size Service Switch
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 3 a
Phase
i
Miscellaneous
Am ere Loads 1 aS
p Lighting
Power
9 6
Rough Inspection By
Final Inspection By 4�e
Remarks: (- ZP-7S SG
280-201n
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