20713 5926 SuttonPark Place
Building: Permit Confirmed 21 ,
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL /PERMIT
Date--------------------—311Z-7----- 19e* Perm -
i# Nc, -- 213--
. - ----------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
{ore permit to install elecirica r oy)yff�g aS-�isY V. reverse side.
Exemption from requirem f e o if a•� �lor's License is hereby claimed
by undersigned: as o ner ❑ statement filed ❑.,e04. —�
Undersigned attests that his State of California Contractor's License # �/
is in full force and effect and properly ofyxes {hhiice/aJ�/Ii
San Jose City Business License # //
I certify that in the performance of the work for which this permi is issued I shall not employ
any person in any m''a//nner so os to late the workmen's compensation laws of California.
OWNER /S E✓� � LL B�✓5A//
ADDRESS
USE OF BUILDING �ES
FIRMA M�.iVy � SIG
zeo-to
9
ITEMIZE THE FOLLOWING New Old
Outlets _� Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panel boards Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Sire Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs / Transformers Motors Number of Meters
HP _( �� Phase Ampere Loads _/Lighting Power•.
Miscellaneous,(//If/
Rough Inspection By
Final Inspectiono— 5—7
y if
Remarks: tt
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