48140 St ffor�Dr. ��j ?r
7 Building Permit ConfirmaA'@Ro�
C Not Required ❑
CITY OF SAN JOSE I` _30 �BUJLDING DEPARTMENT
/ a�APPLICATION FOR ELECTRICAL
'PERMIT
Date--V- 6--- ......---- 19-761'ermit No...S''O �- .------------------
The undersigned hereby makes application to the Electricgl Inspector of the City of San Jose
for e,permit to install electric. fiu#T�' or G1ria�s�a{vl on the reverse side.
Exemption from req uueme�t for Sfa}o of California for Contractor's License is hereby claimed
by undersigned: as owdmenf filed ❑jLUndersigned aftesfs that his.SfalafCa`forniaiEo rac rZs
Z,Q/
is in full force and effect and properly eu1k ixes Phis ep li }ion.
San Jose City Business License # 'Y��� U h
' I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner sl as violate the workmen's compensation laws of California.
OWNER J
ADDRESS
USE F ILDING —
FIR 1 SIGNED
2 0-201n /
1183 Stafford Dr. ? _;, Powerlite /7L
ITEMIZE THE FOLLOWING New Otd
Outlets Panels, Cabineh Size Service Conduit�5.
Switches Switchboards Size Service Wires 7/ C
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 Number of Meters
HP Phase Ampere Loads97—Lighting Power
Miscellaneous
Rough Inspection � By*,.Z,
Final Inspecti n S� 2 --2 7B0 � 7G G /L• yj
AkA,uvw,J_ r S4Z,,� 280-201n