38312 936 SEPTEMBER DR. Building Permit Confirmed
Not Required
Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
r-
Dafe---------- ------------------- 19.73.. Permit No. t�V 3J °2------------------
The undersigns hereby m application to the Electrical I s #or of A City of San Jose
fora permit }o install elecfr' al r a in a ¢ r¢verse side.
Ezemp#ion from require nt a# a n ar on rac#ors License is hereby claimed
by undersigned: a owner statement filed ❑
Undersigned attests that his State of California CAntractor's License #
is in full force and effect and properly authorizes thjf
San Jose City Business License # �(�
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 violafehe workmen's compensation laws of California.
OWNER -60 >j 1+W 1, � r I'(-k
ADDRESS /rib -5 EmL� e J e C U 4
USE OF BUILDING_ S, � /E J)wILL tN I
FIRM SIGNED
280-10 (9-73)
936 57TIMBER DR
ITEMIZE THE F��O......L���LOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches / Switchboards Size Service Wires
Receptacles_/ 7'8 Panelboards Size Service Switch AO
Lr
Fixtures �•� T( 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 ofters
HP Phase Ampere Loads 1?1j_Lighting Power
Miscellaneous
Rough Inspection - — / ✓ �,f� By
Final Inspection //�'��7� 6
K71
Remarks: -r-r, y
� -as a � u- N o