7208 (2) 801 Betlin
— /
' Building Permit Confirmed I�
Not Required ❑
CITY OF SAN JOSE 6l ISI JNG DEPARTMENT
APPLICATION FOR ELECTRICALPERMIT
Date..._------------------------�. -17L-19[.��77Permit No.-_L..ZPZ--------------------------
s� The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install eleciricSV'�ords-Sdorowing,res li;ted o,,-+he reverse side.
Exemption from requirarred{efot/,STa'f�'of%CaldotfSi'a.f4�C nreifer's License is hereby claimed
by undersigned: as owner ❑ � statement filed. 063 C-10
Undersigned atfesfs that his State of California Cggractor's License #
is in full force and effect and properly authorizes this application.
j San Jose City Business License &` 00223
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any mayso as to violate the workmen's compensation laws of California.
OWNER ���A, ) Q
ADDRESS K0 /
USE OF BUILDING
jP
FIRM ROY M. BUTCHER ELECTRIC SIGNED'2
24o'10'
801 Betlin Butcher Electric 9
ITEMIZE THE FOLLOWING New = Old
Outlets _ Panels, Cabinets Size Service Conduit i✓l"
Switches Switchboards Size Service Wires '02—
Receptacles_Z
G2_Receptacles_Z ___Panelboards Size Service Switch- fJa
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KWSize Sub Feed Wires
Ranges KW Heaters KW Number of Circuits /
Signs Transformers Motors Number of Meters _
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection — -'l�n . By, '
Final Inspection f Z "T(/ By_ !^
Remarks:
'J