56631 1118 STEy..�EP�L,E�,CHvA$E�„r*ti/ Building Permit Confirmed ❑ �-
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dat - —' i.6-t_ G '+ � 3/-------------------------
The
. - -- - ...The undersigned hereby makes application fo the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures and/or wiring as listed an the reverse side.
Exemption from requirement for State of alifornia for Contractor's License is hereby claimed
by undersigned: es owner�j et
i Undersigned at}es}s that his S+ate of C rn yiCon}r� Lie
is in full force and effect and properly, 7th rhes fJ
j is application.
San Jose Cif, Business License # ( 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 violala fha workmen's compensation laws of California.
OWNER e -16P
ADDRESS 11,1F SPP C A ,y
USE OFFBn /BUILDINNG C sr! t✓L� G
.FIRM AC l � C, f&G'{s�(c' SIGNED /77 2b0-201n
1118 STEEPLE CHASE PACIFIC /
ITEMIZE THE FOLLOWING New Old
y
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch 1^14
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 Numbe/r of AMeters _
HP — Phase Ampere Loads&M_Lighting Power.
Miscellaneous •.�/l�h. t/�w� /N� A l� /1 �
f 7{
Rough Inspection - By
Final Inspection _ J /�' 2 7 By T/J
Remarks: q-2G-7� SC J /
280-201n