50235 7684y eithiil Ln. Building Permit Ccnfirmad B "-
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
/
APPLICATION FOR �LECTRfGJC -PERMIT
... Permit No. 3 -
------------
pp19.7 . .
The undo?d hereby makest Elec icpt In c r of the City of San Jose'
for a permit to install electrical f' u s e reverie side.
Exemption from requirement for St a of California for Contractor',amen} Licensefiled ❑is hereby claimed
by undersigned: - as owner ❑
I Undersigned aftests that his State of Cali{orn' t is+oye/y9ef
is in full force and effect and properly authorizes s plica io s� —
San Jos. City Business License #
x I certi that in the performance of the work for which this permit is issued 1 shall not employ
{y
1 any person in any me nner so as to violate the workmen's compensation laws of California.
i1�2/C
OWNER
ADDRESS �7/ (/G i rt r j `N. 5 4 r�V oSP l' 11:�95la�
�vv s
t
USE OF BUILDING�Lxe00A
FIRM SIGNEDX2���-
Qj.
-201n
: 7�34 Ve�thill Ln.
ITEMIZE THE FOLLOWING New Old
Outlets panels, Cabinets Size Service Conduit
Switches _Qp _Switchboards Size Service Wires /2T
Receptacles �(�Panelboards Size Service Switch Zew
Fixtures T 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�o� Meters }
HP Phase—Ampere Loads
—LigM1Og Power
Miscellaneous
Rough Inspection i �.—�V _71 By
Final Inspection _ ` �.3 X77 By
�J
Remarks: _� 1 S,g,� AJ, , — '