39531 920 SAGE CT. Building Permit Confirmed R�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
JA�PPLICATION FOR ELECTRICAL PERMIT
Date...�4.n1.........Z-/- --------- 19.7 Permit No.--3 9 S3.L--------------------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures and/or wiring as listed on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his Sf a' rac aLicen 9-3998c) L' Jr3
is in full force and effect and pro er ap af' 'J
San Jose City Business License # % ��L '
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 fworen'spensarion law of California.
OWNER I'M M ✓} L I I / �o
ADDRESS 92. 0
USE OF BUILDING 1z, I
FIRM��CN� / f2o/ f2o �S SIGNED
28010 (9-13)
ITEMIZE THE FOLLOWING New Old
Ouflets Panels, Cabinets Size Service Conduit
Switches Z 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 L_Number offMet ers
HP Phase Ampere Loads 96
rLighting Power
Miscellaneous
Rough Inspection - By
Final Inspection �� �/�` By
Remarks:'/, 7S J c v Gr cL' /� f�c c ,,! 4)
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