60279 (2) UD 7A ralien. Leaf Bane
' ITY dF SAN JOSE BUILDING DEPARTMENT
APPLICATIONFOR ELECTRICAL PERMIT
Date------------- .. . . . . . . . . I�YPermit N.. ..._._. .. ��.... .....
.. ., .. . .
The undersigned hereby makes application to the Electrical Inspector, of the City
of San Jose for a p lr4 elec i a ixt y�e and/or wiring as listed
on the reverse sidgW ndza ee t II Yd fixtures and/or wiring in
accordance with the provi ons of Article VIII, Chapter 3, of the San Jose '
Municipal Code, and other laws licable thereto.
I certify that in the performan �he. wf" i his rmit is issued
I shall not employ any person i, n mane er o 4661 a the workmen's
i
compensation laws of California.—
OWNER OWNER B
ADDRESS 77 O-
USE OF BUILDING'`'" _74-
i
Form 280-10 /> "Slgne�d�... -------------------------- .t.........
.
7543 Fallen Leaf Lane Mason Inc.
New, oid
Number of Outlets.....:. _. :_-::__ Size' ServiceConduit. ...........
Number of Switches_. ------'3......._.._--- ._-- --.--Size Service Wires..
_ Y
Number of Receptacles......°1_......._ ......_ ....Size Service Switch......................
. _..
Number of Fixtures,_.'. - f, ..... ._Size Sub,Feed Conduitd:.._�i..:.:.i.....:; .. .
Ranges. ------- - -----_ KW_t .__ ..Size Sub Feed Wires.....
Dr ers:..._..........
KW._....:'-:....:_J._ . of Circuits...:...
y ---_ ., Number ' ,.c. . . ...............
HeateHeaters.,-,
rs.:.__:.._ C.._.:. :._. KW.:.... . .....-:_.::._Number of Meters...........
.. .:.._:r. :_ .'. . .
Signs...-...._.--....._------ Transformers........_._.._.Lighting Load....--- ............_Amperes
Motors, ... ..:. HP....-........... Phase--------,......-Motor Load
_....-...-.-___.c_..._.' ........
Miscellaneous ---- .------------
-- .......
.........'
Rough Inspection..----�--... 'L^- .._ _BY o s
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Finish Inspection - -----� - - BY
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