67815 (2) 6377 Cottonwood Building Permit Confirme�
Not Required ❑
CITY. OF SAN JOSE �'j = � ._� 9 BUILDING DEPA4 . T
APPLICATION FOR ELECTRICAL PERMIV���'
o p ��7 - -
Date -� [--------------- - - 19. .1 Permit No........._ --------------------
Th
- '
The un arsigned hereby e- s pp' 'o o EI ita Ins r of the City of San Jose
for a' perms} to•install ele ice fi ur r g s I'# o # reverse side.
Exemption from requi a ifo { r r ors License i's hereby claimed
by undersigned: as caner ❑ statement filed ❑
Undersigneda#lesis that his ata of California Contractor's License #
is in full force and effect and pr if
rly�yulhori:es his pl'! oi!
^r San Jose City Business Licen a �j
1 certify that in the perform ce iho wor o whmh this permi is issued„I shall not employ
any person in any manner so to vio to the men's compensation laws of 'California.
OWNER
'7 ADDRESS t
Cy USE OF BUILDIN
FIRM 9q6- 1+11 SIGNED
N ase-3aI'7
260-201N
6377 Cottonwood 4 HC
ITEMIZE THE FOLLOWING New Old
Ou+lets 7` Panels, Cabinets Size.Service Conduit
Switches T ''f Switchboards Size Service Wires
Receptacles Panelboards . Size Service Swi+ch�`_127d
Fixtures 3 /_iCA Festoon Lamps Size Sub Feed Conduit
Mercury Lamps/ Dryers - KW_ Size Sub Feed Wires _
Ranges KW Heaters KW Number of Circuits
_1
Signs Transformers Motors Number of Meters
HP Phase _Ampe Load���� gh+in f�pwer,
Mix a Aneouz / l
Rough Inspection _ �� ✓J� By
Final Inspection ,-3 7�/' By
Remarks:/-�2.2-7'j l e5�/' )
280-201N