69937 (2) 7967 Folkstone
Building PeConfirmed 0
Not Required
❑
CITY OF SAN JOSEUIB LDING DEPARTMENT—
APPLICATION FOR ELECTRICAL PERMIT? /oaslier•
Date----
_�Ilf^-5---------...-'---------------. 191/11.. Permit No._6.-C..1.---3•�------------------
The undersigned hereby makes ap application to the Electrical Inspector of the City of San Jose
fora permit to instal/el R ' P'fi I apd/ar w' n ' stod on the reverse side.
P J yf
Gem pilon from 7e�ra5t'�{o o/C if rnia or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned a{tests that his S}a}e f California Con{rector's License
R3 f";9 cle
is in full force and effect and proper) ya iTj fixes this a�//p'c {morn.
San Jose City Business License #' �L ,i, ��� ��
I certify that in the performance of the work for which this permi}�ais isesued I shall not employ
any person in any manner/sow as to violate the workmen's com pensaf" laws of California.
OWNER �7/
ADDRESS —/ �&2 F
USE OF BUILDING -" L
FIRM'/// rLf ('74GSIGNED
i
280-201N II
V
7967 Folkstone MSK
Pow
ITEMIZE THE FOLLOWING New 4v
Outlets Panels, Cabinets Size Service Conduit �j
Switches Switchboards Size Service Wires
Receptacles— Panel boards Size Service Switch A)v
Fixtures _Festoon Lamps_ Size Sub Feed Conduit
Mercury Lamps Dryers KW Sire Sub Feed Wires
Ranges KW Heaters�� KW"�Number of Circuits '` '
Signs Transformers Motors Number of Meters
HP PhaseAmp a Loads 7�Lighting Power.
1Zf L�
Miscellaneous // / T t z i+� � F �] f
/(�� 16 � �'Q- J
Rough Inspection - -7C3 By .
Final Inspection y�
i f"' 7-yL,�' 79 By / .
Remarks: 1..1Nv. 'f " kA.✓� , /1n 3
9-2-79 L' Sl7 -4r4G"" '5'Tt'R w A�
200-2DIN