10647 (2) i038 Pennington Lane
Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMM
APPLICATION FOR ELECTRICAL PERMIT
. /
Dafe /ndersign
%�1' -------...._.. 19,L/ Permit No...�OG.. 7........--------------..
Tha a eh reby� q/ ayyy pl'eSfign i hs Elec tic l Ins eci 6ff]ihe Cif of San Jose
yyy
for a permit io in all eGfrcelffix �s�� i;ngisi�d ofi/}Fj%Furse sido.y
Exemption from re uvemen or tdte of lifornfalforx,Contrac c, dense is hereby claimed
by undersigned: a owner statement filed ❑
Undersigned attests thaf his orate of California 0appaetor's Licyy��ns,,e,,,,�
is in full force and affect and properly authorises }his�appli<a}ion. /s//
_
San Jose City Business License..# �>�(z e%/'/� '
I certify that in the performance o4 the work for which this permit is issued I shell not employ
'r any person in any manner so as to violate the workmen' comps, ion ws of Ca fornix.
OWNER
ADDRESS /
USE OF BUILDING�J�A, �
FIRM SIGN
o
1038 Pennington Lane Arthur N. Schloh
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles ' Panelboards Size Service Switch
Fixtures Fesfoon Lamps Size Sub Feed Conduit D
Mercury Lamps Dryers � KW 'J' 17' Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection7.
,By
Final Inspection B
Remarks:, y