34401 (2) q -
752/r� fi g—Sbury Cit. Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRIC� IIT
Dafe ......-... -------------- 19_7r Permit No.--------- c�
---------------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for,!a permit to install electrical fixtures and/or wiring as listed on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # jr 7a /-7
is in full force and effect and properly eu#horixes #his application.
San Jose City Business License # 1��` �' 71/7
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any rn pp as to vioI f the workmen's compensation laws of California.
OWNER �
ADDRESS —75` �7-
USE OF BUILDINGS
FIR"� � R�� ��(/ SIGNED
260-10 -
75217 Kingsbury Ct. o? �,r A & A Bldg.
ITEMIZE THE FOLLOWING New Old
Outlets Z4 Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires '
Receptacles y _Panelboards Size Service Switch Ac_�//
Fixtures �_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 Phase Ampere Loads W/fighting "Power
Miscellaneous ee�� '
Rough Inspection .L �� 767 By - '
Final Inspection By
Remarks: