51766 1036, TUSCANY PL. Buily-29UPermit Confirmed
; Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT /
J-j---- �-(o ----------
Date_, ..'.. .5_x..1..1................ 19. 7 Permit No...-... �
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
fora permit fo installale rice�wi ur lis} fho reverse side.
Exemption from requi rec}or's License is hereby claimed
by undersigned: as owner ❑ statement filed
0�( 13
Undersigned aftesls that his State of CaliforniaQTu�n ors Li a
is in full force and effect and properly authorizes it rteti
San Jose City Business License # A L 5 e
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 violafe the workmen's compensation laws of California.
OWNER 7S f,s K Is,]
ADDRESS NIL
USE OF BUILDING ( L:
FIRM SIGNED Gln
t
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets —r�Size Service Conduit
Switches Switchboards Size Service Wires I D
Receptacles Panelboards - Size Service Switch ��s
Fixtures � Festoon Lamps Size$ub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW_ umber of Circuits _
Signs Transformers Motorumber of Meters
HP Phase Ampere Loads _
P 9.�_Lighting Power
Miscellaneous _ ;i"
n
Rough Inspection By
Y '
Final Inspection -
Remarks: •�. G�,7.7 Y
280-201n