85657 (2) sil FiAsti
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
�jAPPLICATION FOR ELECTRICAL (PERMIT
.-------- 19.------ Permi# --------------
The undersigned here�y I�'yaJ10 �(e�yC�! "cal Inspector of the City of San Jose
fore permit to install q�o¢v¢ r yr�Il g9T ¢ y/ gCM listed on the revorse side.
Exemption from requirem } for Stat. of California for Contractor's License is hereby claimed
by undersigned: a"_s// no tem +^filed ❑
Undersigned aftesis that his Ya� of .Califofni5'Co trfi act ansa J✓r_,� ��
is in full force and effect and pro erly u horiza�f s pgljc n.
San Jose City Business License #r v ��
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any m ner so as to iolate }h�lworkm�enn'ss compensation laws of California.
OWNERLLC�y'L�. � Q�Le
ADDRESS ✓7—_�7—Fj ES.I A L A C
USE OF BUILDING 5/or N"41FIR I iA
CUPS-1PLECTRIC. INC, SIGNEDL /Ng
1060,10en,rtagi, aMnyvale Rd.
r�^e �i'> e C 1'fornia '
fif -1* Cupertino
ITEMIZE THE FOLLOWING New Old
i�Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch 4000_
Fixtures Festoon Lamps Size Sub Feed Conduit -
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Tranzfor ers Motors Number of Meters
HP I Phase Ampere Loads Lighting Power
5'a, iscellaneous�i 1,p
Rough Inspection By
� By
Final Inspection,
Remarks:
RepI.Ame MA*A S@kVice