15080 1127 Stelling Rd.
Building Permit Confirmed Q--
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLIC TION FOR ELECTRICAL PERMIT
Da+e------y9 ---L.. 19........ Permit No. - l -p D. ....... --
The undersigned' ereby a I' al Inspector of the City of San Jose
for a permit }o install elect s}ed on the reverse side.
E.emp}ion from requirement r Stafa of California for Contractors Limanse is hereby claimed
by undersigned: as owner ❑ x;(:dn /��
Undersigned attests that his State of Califor frac ors Lmen J)
is in full force and effect and properly authorizes this application.
San Jose City Business License dP
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any roan so as to violate a workmen's compensation laws of California.
OWNER
ADDRESS /g
USE OF BUILDING42
FIRMSIGNED CEC ''pG�
-10
2e0
1127 Stelling Rd. non
T & F Consul.
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches 7 Switchboards Size Service Wires Z '
Receptacles Panelboards . Size Service Switch /DO
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 ' 4/-,49 Phase Am ere Loads4t4_Lighting Power
Miscellaneous )/�� �Gc�
Rough Inspection By
Final Inspection A� 2 }, PZ By(r�j��
Remarks:S,7-97®MeFq( {�y,Yr; �' '
.,'-�-� -Qe ��w-a�eo�•,.+_.��'wS/.w..r 9 � �rlL up �r�` ,`�•