612828045 Ralnb OW Building Permit ConfirmsdaQ�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT��`�
61 -at z�
Date.. ...-.. ----------- ------------ 19-1gPermit No - ---------------------------------------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install a i r /o it s n the reverse side.
Exemption from r e rdrn oniractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ b _8
Undersigned attests that his State of C ornia Contractor �'sryLicense #
is in full force and effect and properlya or' is ap 'cc
City
San Jose Cil Business 'License # I
I certify thatin the performance of the work for which this permit is isiuj j I shall oo empl
. __ ___..i_...--' L rJa... w
• 5
1
FIRM- 6AjS-rrucTt5'\A SIGNED -
8045 Rainh9lt CD /
ITEMIZE THE FOLLOWING New Old
Outlets I � Panels, Cabinets
Size Service Conduit
Switches 8
Switchboards
Size Service Wires
z
Receptacles �-S
Panelboards
Size Service Switch
O6
Fixtures 1
Festoon Lamps
Size Sub Feed Conduit —4;:L
Mercury Lamps
Dryers Y
KW Size Sub Feed Wires
Ranges o KW
Heaters 4—
KW��umber of Circuits
Signs gD Transformers
_ Motors Number of Meters
HP
Phase
A Loads%(pp,rLLihtin
_mpere 9 9
Power
Rough Inspection _ L By
Final Inspection _By B
Remarks:L - s 7VS04 k`D Y
280-201n
C.