27708 (2) 911 New Haven Ct.
Building Permit Confirmed ❑
/
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
#PPLICAT)ON FOR ELECTRICAL PE/R-�M/IST Q
Da+e.----- -( .`�'------ -/---------- 19;. -.. Permit No.----.-•Z.. .../...1... .0.................
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 requiremep� f r Slat ;C�wmin Gonfrf}`���rs License ereby claimed
by undersigned: Moot a'0IP�%��a o /�T'j^�o�filed
Undersigned attests ih h�/5_}'a�a/sof aff�iford-.i"'a'��CCCJ»onTrac4ors License #'
is in full force and effect and prod rly authorizes this application.
San Jose City Business License *r
I certify that in the performance o{ the wo a�whic ss�p s�sS�ed-I hal not employ
any person in any so as to violate ifwpzkmen's odi en fionbl/aw f, alifornia.
OWNER � �I �< ���( LL)1< ) R
ADDRESS -/ NCL., KRvN
� t �
USE OF BUILDINGSi <
FIRM Se�{ Q f/Ot vl SIGNED
J
280-10
90
'• '911 New Haven Ct. HD
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles __Panelboards Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges ,/-- KW Heaters f''KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting -✓power
Miscellaneous
Rough Inspection
By—
Final Inspection •2,�—�G/ By
Remarks: