20594 (2) 80'/5 Park Villa"Circle <.
_ _ / 'J ^� Building Permit Confirmed �l4-
<�... Po 0 /L_/ / — / Not Required • ❑
CITY OF SAN JOSE Pp72_.�� U BUILDING DEPARTMENT
7 i �.Jr f _57>vo Tie
�APPP CATION FOR ELECTRICAL PERMIT Got-9.f
Date... _ -i/�_oc------------------------ 19 � Permit No..�O '57-04
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The undersigned hereby !pekes apglicaiop� {le Electrical In�py#or of the City of San Jose
for a permit to install elec�icaJ/f�'� �andri�� rin �atlist p�paf�le reverse side. • -
Evemption from requirement M6 , tate of California Qo Conf�ac'fors License is hereby claimed
6y undersigned: a owner ❑ statement filed ❑
Undersigned attests that his State of Califorri Co tractor's License
is in full force and effect and properly aufh rirel"this_ li afi n?.
San Jose City Business License # � � ���
I certify that in the performance of the work for which this permit is issued not employ
any person in any mann o as to violate the workm n's compensation laws of California.
OWNER �� a
ADDRESS -'°
D �✓
USE OF BUILPING
FIRM i IGN
280-10
Rn7S Park Villa Circ e Hill Elect.
ITEZE�TFIEFOL
e, NewLOWIN�G �� eco
od
l( -1R 3u� v 77 .[
J
Outlets _ panels, Cabinets Size Service Conduit 11i
Switches Z Swifchboards —Size Service Wires 0-6•1-6
Receptacles Panelboards Size Service Switch l�
Id Fixtures ��Festoon Lamps Size Sub Feed Conduit
CS�Mercury Lamps Dryers, _ KW Size Sub Feed Wires
nges KW Heaters KW Number of Circuits y
o Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
iscellaneous - "41 2eN .ry 3
Rough Inspection
By
SR=
.Inspection q n - B
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