97448 7712 Robin Dell Way
3 Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE �� UILPIxr, 9 7DEPARTMENT
APPLICATION FORELECTRICAL
ppP/E�R/,MIVG
Date..------.-Co—(q-------....._--------. 190.1_ Permit No.....1../....C. -.L.
The undersigned hereby m s pplicatio to the Electrical Ipe�ej��f the City of San Jose
for a permit to install elect,' al / vi as ie yt//fjrJ/r arso side.
Exemption from require r orni r o rectors License is hereby claimed
by undersigned: as o or ❑ statement filed ❑
Undersigned attests that his State of Cal' ma Contractors License #
r a
is in full force and effect and properly authopplicai' J
San Jose City Business License 7r` —�, —yL�L�I
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 the workmen's compensation laws of California.
OWNER
ADDRESS „ I �`o� �� �2��
USE OF BUILDING S � e47!u^
FIRM 1\orse^� �%�ec. SIGNED
280-10
C/
7712 Robin Dell was, K�raen
ITEMIZE THE FOLLOWING New ; old
-Outlets 1 Panels, Cabinets Size Service Conduit _Y
Switches 2- Switchboards Size Service Wires 2-
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 L Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection
Final Inspection
Remarks: (—Z3 W^ �,�