291571118 Yorkshire Dr.
CITY OF SAN JOSE
Building Permit Confirm"
Not Required ❑
BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL
ELECTRICAL PERMIT
Date
o�--------- 19 , Permit No. - `/� -- -
The',undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical ydur� V8fL;Wiring asalist d0od the reverse side.
Exemption from raquirem n4(fo154a Ce1(fornia for Conlrncior's Licensgjs hereby, claimed/
by undersigned: as owner ❑ statement filed IQ �ry� /nsle
Undersigned attests that his State of California Contractor's License # —V
is in full force and effect and properly aufhnQsjthis a p r i
San Jose City Business License # �f•��
I certify that in the performance of the work for which this permit is'issued I shall not employ
any person in any manne�,jo as to violate the, Mrkmen's compensation laws of California.
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OWNER yTA
ADDRESS —111t
USE OF BUILDING
FIRM `BXIW�—�f
280-10 (9-73)
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I
ITEMIZE THE FOLLOWING
Outlets Panels, Cabinets ' Size Service Conduit
Switches Switchboards Size Service 'Wires
Receptacles Panelboards Size Service Switch • _
Fixtures _/ Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires _
New Old
Ranges KW Heaters KW Number of Circuits
Signs ._ Transformers Motors _:.—Numberrof. Meters
HP Phase Ampere Loads _9V_-2_Lighting Power
Rough Inspection V V
B
Final Inspection (5—� % y
By.
Remarks: VC ,2 -7% A
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