58690 (2) 132',3 PRIMROSE WAY
Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT-
APPLICATION FOR ELECTRICAL PERM/ITq
Date.... ��_L .. ..1.......L ...... 19'? Permit No.--4 O.G.d...... -
The undersigned hereby,makes e�p?H }ion i99 the Electt*cal Inspector of the City of San Jose
for a permit to install clI/tr�yrre'! u/wi� �s J+Qg� the reverse side.
Exemption from regJjrera Sta+ of C i rn or actor's License is hereby claimed
by undersigned: as owner ❑ staiement filed
Undersigned fore d attests that his Fate of Ca ni o�OP or'
is in full force and effect and properly au}h riz s-appl Y
San Jose City Business License #--.,�
I certify that in the performance of the work for which this permit is i sued I shall not employ
any person in any manner so as to violate,t`�e warkma 's compensation laws of California.
OWNER �AGG� J12 1
ADDRESS �r1r-'s?=tae
USE OFF BUILDING -(/� 11C-r1r4nn, tV
FIRM Tdl t 1�) UoN>3 L SIGNED 280- Oln
I q
1328 PRIMROSE WAY MILRICH
ITEMIZE THE FOLLOWING New Old
H
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires # W CO
Receptacles Panelboards Size Service Switch 100,4 �0
Fixtures _��4__Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW �� �—Size Sub Feed Wires
Ranges KW - Heaters KW.l,.ZNumber of Circuits /9 !-�!
Signs Transformers Motors Number of, Meters 7�
HP 1 t�ia --� �^� Phase " o2LL� l''WT7j-IV—Ampere Loads Lighting Power
Miscellaneous
Rough Inspection c7 7 By
Final Inspection ' tri —
By
Remarks: 1-3-7g Sc d; 4
,e��a��sf96�d°wc
0 280-201n