Loading...
66543 (2) ' 1Q85' Milky Way W 5 f e ,s, ,d,Q De VlArg Permit Confirmed Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTM� LL PERMIT S APPLICATION FOR ELECTRICRDate------.../V�✓- �3 - - - 19 0. Permi# No. ` ----- '............ The undersigned hereby makes applica}'on }o a Electrical Inspector of the City of San Jose for a permit to insta el r' /or Aloe n the reverse side. Exemption from r o to Hf r is o ontractor's License is hereby claimed by undersigned: as owner statement filed Undersigned attests that his $fa}eof I a Con}r is in full force and affect and properly au ihi e �6 . . San Jose City Business License # I certify that in the performance of the work for which thisfpermi} is issued 1 shall not employ any person in.any.man/nerAso•asatosviolafeAthe'sworkmensueompensa}ionIlaws lofn Cal ifornia+ OWNER nb gr - ADDRESS t USE OF BUILDING T FIRM f7 c�9Df1 c'P C'o SIGNED �/ n i Cy2 0-201 N ! 1Q85 'Mill[ ya� i;- Deapker y ITEMIZE THE FOLLOWING New Old Outlets L Panels, Cabinets Size, Service Conduit Switches 'Switchboards Size-Service Wires Receptacles Aq Panelboards Size Service Switch Fixtures In Festoon Lamps Size Sub Feed Conduit Mercury Lamps Dryers KW Size Sub Feed Wires Ranges KW Heaters &I KW2ZNumber of Circuits Signs Transformers Motors - Number of Meters ' HP Phase Ampere LoadsAWiighting -Power Miscellaneous Rough Inspection py - Final Inspection _ _ By Remarks://-/d'-7/ S�i� / 7/-9SSL �l/ I�� 9 U✓ P./J✓/��i' (/ r i f 280-201N