57711 916 September drive Building Permit Confirmed/
Not Required ❑
CITY OF SAN JOSE BUILIIJNG- DEPARTMENT
APPLICJATION FOR ELECTRICAL PERMIT
Date........
.../�.- 1..--------------- 19�; ermit No...5E 7/..7L/
The undersigned her y �,;.ppliypl' io 4 F' Ir' pector of the City of San Jose
fora permit }o install ec c f(3�oF:�a(��/ rip s on the reverse side.
Exemption from requiremen for Stale of California for Contractor's License is hereby claimed
by undersigned: as owner ❑
Undersigned attests that his State of C4>46o r c?
is in full force and effect and properly authorizes chis application.
_ San Jose City Business License # ALB��S'�SZ.
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. „
1 OWNER
ADDRESS /LIC ST
USE OF BUILDING ^ tt r 5 I qty
FIRM Li 624E Mn [O T11 SIGNED
260-2o1N /1
916 Septeuyher Let Geoxge Do Tt [//
ITEMIZE THE FOLLOWING New Old
s !92" I^ Panels, Cabinets Size Service Conduit r l'/
'
Switches - -
Switchboards � �- Size Service Wires Z
Receptacles Panelboards Size Service Switch
Fixtures - —9 Festoon Lamps Size Sub Feed Conduit -
Mercury Lamps _Dryers KW - Size Sub Feed Wires
Ranges . KW -Heaters// KW Lr Number of Circuits
Signs Transformers Motors Number of Mefers
HP Phase Ampere Load<3�O ghting _ Power"
Miscellaneous -
Rough Inspection ^7 By
Final Inspection .1` — / _ By
Remarks: P—�7 —7� — N 3-a•7& 51/410&0L
280-20IN