47962 (2) 830 Betties �0�
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE` BUILDING DEPARTMENT
APPLICATION
/FOR
—7ELECTRICAL PER`M/IT�j/
Date---.......----------------------.:{.L2l. 19-;-?OPermi# No.----------Y/&Z.............
The undersigned hereby makes,7,
f.fha lectrf'W�n'spector of the City of San Jose
for a permit to install elec}rica�'fix i re��od;or�wir� aj/listed iX the reverse side.
Exemption from requirement for Safe of California (or Conirac}or's License is hereby claimed
by undersigned: as owner ❑ statement filed O
`Undersigned 'aftesti that his State of Californiat duntrStor''
es'Li nse
is in full force and effect and ro erl u}horires rl}�j.1.cat ioi.��
San Jose City Business License # 7— //
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 viviolate the workmen's compensation laws of California.
OWNER
ADDRESS �Q
USE OF BUILDING
SIGNED
�0-
' 2 0-201n^
830 Bettie\, Trane
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch �0
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryeri KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase Ampere Loadsv 7�[ Lighting Power
Miscellaneous
Rough Inspection By .
Final Inspection {C) (S By
Remarks:
280-201n
n __