13594 (2) 8059 Park;; Villa Circle
f Building Permit Confirmed r�`I
Not Required ❑�
CITY OF SAN JOSE F-7-21- BUILDING DEPARTMENT
s� 7
APPLICATION FOR ELECTRICAL PERMIT
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Date--------...-------'------'---...--/ 19�i�Permit No............. -----------...
The undersigned hereb�q}es eppllica>n to the Electric;l,lnspec4or of the City of San Jose
for a permit to install�elc ��fi+ �r��rt iiing��Gln�d�ri the reverse side. _
Exemption from req'uirame77tffor $ta4E'of Ce iforni�fer Contra dor's License is hereby claimed
by undersigned: U as owner C statement filed Cr
/
Undersigned attests that his State of Californi Contractor's License # e5Z0e Z<ki/-
is in full force and effect and properly authorizes tgis licep }Leyn�/p/T/`
San Jose City Business Licensee# ' 0 2 p "'��" 7a
I certify that in the performance of the work for which this permit is issued0l shall not employ
any person in any annnner/so�a�toviol e /workman's comps fVtioy laws of C life ria.
OWNER �" �cjG� -�Y/'�C ,`ir� rt✓
ADDRESS ` v
USE OF BUILDING
FIRM HTLL LL i(- TRICAL6IGNEDr
280-10 CON T-'R,r.ClO S-SUNNYVALE 9
8059 Pik Villa Circle Hill El .
ITEMIZE THE FOLLOWING /z—i0 Old
Outlets Panels, Cabinets � Size Service Conduit
Switches r_ Switchboards Size Service Wires
Receptacles �V Panelboards Size Service Switch _1_2e�_
Fixtures �.� Festoon Lamps_ Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wire
Ranges __/_ KW Heaters KW � Number of Circuits
Signs Transformers Motors Y� Number of
Meters� _
HP Kase Ampere Loads LL_Lighting Power
Miscellaneous
Rough Inspection 7By
ZE
Final Inspectionh F' y�7 Z
Remarks•R�nJ/ / Z
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