52592 (2) 7373 FALLEN LEAF W. Building Permit Confirmed LT
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTI� A1C 'CPERMIT
Date.......7- .7 Al----------- 19-2/2 Permit No.-----------------------------------------
._--
The undersigned here ekes a p* a to the Elec rival Inspector of the City of San Jose
for a permit tc install i + / v� fisted on the reverse side.
Exemption from re firemen for to of California for Contractor's License is hereby claimed
.- by undersigned: as owner ❑ _ st�le tt de
a!+� Undersigned aftests that his Safe of Cp1iy Co4a r9r 303 3
is in full force and effect and properly autH6rize�},hiepyl�a�on.
San Jose City Business License # y7 'e! •� o< .
/• I 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 4o violafe the workmen-'s comunsa+ion laws of California.
OWNER
ADDRESS 23Z3 s����.✓ ��'"'_ - �A `TOSG
USE OF BUILDING
FIRM��� � SIGN 2 0-201n
�y= ' %
7373 FALLEN DWEAF . �+'� / FHI05 ELECT.�
ITEMIZE THE FOLLOWING New Old
Outlets + `e'- Panels, Cabinets Size Service Conduit
Switches �� Switchboards Size Service Wires
Receptacle Panelboards Size Service Switch
EYE
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuifs
Signs Transformers Motors Number'of (eters �.
HP Phase Ampere Loads 3`5 Lighting Power
Miscellaneous F-,e ��, io,✓ �,
Rough Inspection B
Final Inspection7 — B �.
Remarks: S--3- 2) -3-1ir � y
28o-201n