51869 (2) c^ 1168 GARDENSIDE LN. Building Permit Ccnfirmed Ll'
V r Not Required ❑
N CITY OF SAN JOSE 9 -9- 77 BUILDING DEPARTMENT
N �
APPLICATION FOR ELECTRICAL PERMIT
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Date.------ /_ e a __ . 19./f..�.. Permit No.....�_.�..5. 9-
The undersigned hn t a nspector of the City of San Jose
for a permit to install ri a iztures an r i li d on the reverse side.
Evemplion from requireme for State of California for Contractor's License is hereby claimed
4 by undersigned: as owner ❑ statement filed
Undersigned attests that his Slate liform f ip e #U-10 `?3� y
is in full force and effect and proper ses 0 i f p�
San Jose City Business License # ��
.� 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 to violate the workmen's compensation laws of California.
OWNER NO/Z,vJ eOCCA�f/��
ADDRESS XI-623
USE OF BUILDINGGGT, 7G6 Ll AJ
FIRM A—%4 <f�nT51GNE 0-201n
1168 GARDEN5IDE LN. A7,457 BOYES Iq
ITEMIZE THE FOLLOWING J`M 4 xOu .�v��y,k csio++N w pd
Outlets
40 Panels, Cabinets Size Service Conduit -7
Switches Switchboards Size Service Wires J
Receptacles!7/ panelboards _Size Service Switch/V1 Q�=e �
Fixtures d� Festoon Lamps -� Size Sub Feed Conduit —GO
Mercury Lamps _� Dryers KW Size Sub Feed Wires # �'�
Ranges KW Heaters X� KW��h Number of Circuits __
Signs 1 Transformers � Motors =L_ %mber of Meters �
Phase—/—Ampere Loads���Lighfing Power
Miscellaneous
Rough Inspection _ �- '7 — 7 /-7 B
Final Inspection g
Remarks: �.'yt(.�,'l 54-
;4C J1h o 280 201n