51093 1036 TUSCANY PL. BJea'urg-Permii Ccnfirmad
,s Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.. Permit No.. 1.-_f [.. —2--------------
..: � ... -' - �
The undersigned hereby makes application to the ElectricallInspector of the City of San`Jose
for a permit to ins}all electric fisfur.$ / reverse side.
Esamption from require n} e o or'z License is hereby claimed
'i by undersigned: as ner tatement filed i
f Undersigned attests that his Sfa}e of Califor419
's�
is in full force and affect and properly eu}ho' esd�I
San Jose City Business License #
I certify that in the performance of the work for which this panni} is issued I shall not employ
any person in anner so as folate the workmen's compensation laws of California.
OWNER
ADDRESS 0 w`USE OF BUILDIN E
FIR r D ✓�
2 0-201n
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches I Switchboards Size Service Wires _106''\\�
Receptacles Panelboards Size Service Switch -206
Fixtures -t Festoon Lamps P Size Sub Feed Conduit
Mercury Lamps Dryers KW . Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
i
Signs Transformers Motors _ Number of Meters _
HP Phase Ampere Loa s _1_Lighting Power '
o
Miscellaneous
Rough
Rough Inspection
By
Final Inspection _ � �7 --2—2 6
Remarks:3�iS/> / n �q y Q
�1=M2, Jar. `�wc � SE.Ysc 280-201n
UU r-W Z- 2 a_2( l