86061 (2) 7967 Folkstone
Building Permit Confirmed Q/
Not Required ❑
CITY OF SAN JOSE /O / /� �p 7 BUILDING DEPARTMENT
APPLICATION�//FOR ELECT ICAL PERMIT /
Date----------------- ---- --I- - -- F ;anti—---...----- lO�. /..........
The undersigned hereby me as apto the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures and}/mor, wiring as listed on the reverse side.
Exemption from requirement for Safe o� y.3NJornia fordo ra fir: lc ns 'is hereby claimed
by undersigned: as owner IX� �,/ s rrkb fil '❑j��63/
Undersigned attests that his State of California Contractor's License. #' 77
is in full force and effect and properly authorizes this applica 'on. /D
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in any man�so as to violatathew rkmen's compensation laws of California.
OWNER T 4LA YL --i- ASSoc_, ,
ADDRESS L cT+ 63 — 7 7L7 Pb i k S+b o f P&
USE OF BUILDING S � _
C LI P EP. rIty_r LLECIRIC, I NC, r
10601-fE18m,;-;-��� SIGNE
° Irua ergine" alifornia
7967 Foi�kstone Cupertino
ITEMIZE THE FOLLOWING J—C a rn ,�y 1 f' `fN'ew Old
/•/Cw
��yo u+lets /, Panels, Cabinets Size Service Conduit ,
witches ZZ Switchboards Size Service Wires
Receptacles -1 —_—Panelboards Size Service Switch _ ami
' Fixtures �� _Festoon Lamps Size Sub Feed Conduit '
19, Mercury Lamps 7Dryers KW Size Sub Feed Wires
I . G
i,�Ranges_� KW/-- y.(z Heaters KW Number of Circuits
Signs Tr nsformerz MotorsNumber of Meters
HP
Phase -/*Ampere Loads Lighting Power
11Miscellaneous yk� — O i ,
1•t" ough Inspection By
7-y
Final Inspection 1e l / B _r46-X2
Remarks: y