98359 (2) 1151 Kentwood
Building Permit Confirmed 9-�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�� < c
' Date ---------�-�----..... 19.�.J Permit No.---. ---------------
The undersigned hereby e i f' b EI ical Inspector of the City of San Jose
for a permit }o install ele ri I r isfed on the reverse side.
Exemption from requ n tat of aIif.rn.. for Contractor's License is hereby claimed
by undersigned. s ownor ❑ statement filed ❑
Undersigned attests that his Stat lifor s - enee #e2,P-6
is in full force and effect and pros _ e—
jSan 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 t 'olate the workmen's compensation laws of California.
OWNER �c
ADDRESS
USE OF BUILDING
FIRM SIGNED'
FORM 200-10 110/971 10M el,7 ✓1
1151 Kentwood Elec Spry �/
ITEMIZE THE FOLLOWING New Old
Ou+lets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles _//�� Panelboards Size Service Switch
Fixtures —b Festoon Lamps ' Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW__ Heaters KW Number-of Circuits
Signs Transformers Motors Number of Meters--
HP
eters _HP Phase Ampere Loads Lighting Power
Miscellaneous 6
Rough Inspection By 01
Final Inspection . Z' By
Remarks: ��'�'/•C.`I'r// iut✓-� 76.// xG[�9��/ �UwP