646581121 YORKSHIRE DRIVE
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CITY OF SAN JOSE
Building Permit Ccnfirmed r[��
Not Required ❑
BUILDING DEPARTMENT
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^APPLICATION FOR ELECTRICAL PERMIT
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Dafe..Q.ug ,21�:ea.9Z$---......-- 19...-... Permit No. ---------- ----
The undersigned hereby makes application to the lecirical inspecfor of the City of San Jose
for a permit to installliAlec�i Yfur�tdlibr,vtfiu'k3fes�liifef�on the reverse side.
E.emption from regwreme ([for Sete o6' alifo iaRo� Contractor's License is hereby claimed
by undersigned: If as owner ❑ stefament filed
Undersigned attests that his State of California o,racforsf�L1 hsa
is in full fore and effect and properly authori.af tHis pplicotl,
San Jose City Business License # 49-02452
1 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 violafo the workmen's compensation laws of California.
OWNER
,ADDRESS 1121 Yorkshire DASan Josp
USE OF
FIRM LyIGGII99 rT.F.CTRTC SIGNED G`V v
2 0-201n
11-Y4iDKSH RE DRTVF. Fi�GGINs IECTR�C
ITEMIZE THE FOLLOWING
New Old
Outlets Panels, Cabinets
Size Service Conduit
Switches Switchboards
Size Service Wirep_,_
Receptacles _z_;____ Panelboards\=
'
FixturesjI �Q/ _ Festoon
Size Service $wi#ch
Lamps
'Size Size Sub Feed'Conduit
Mercury Lamps Dryers :KW
* ' Size Sub Feed Wires
Ranges KW Heaters
KW •'' Number of Circuits
Signs Transformers Motors.' Number of Meters
HP Phase
'Ampere Load'sAl Lighting Power
Rough Inspection ,B
Y
Final Inspection 9
Remarks:Y, �J� S� /stJ j2f �% Zo-9& SJ'Z y
280-201n