33047 (2) 1566 Primrose Way vl,R l/
,Building Permit Confirmed (+�'
Not 7.quired ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date./�Ll/oe ----------- ----------- 195-��/� Permi# No....e .. ....-.............
The undersigned herebys makes application to the Electrical Inspectof of the City of San Jose
Nfare permit to installe�tri I�{ix res end% wlin r1t:f��d on/tM'e reverse side.
Q Exemption from re as o>,-.Aatp QAC I"fprtJ"i5 efd/[:onfraoto� License is hereby claimed
� by undersigned: as owner ❑ statement filed. J
y- 1 Undersigned attests that his State of California Contractor's License
is in full force and affect and properly au}horhel Bis ap tic fi n.
San Jose City Business License
I certify that in the performance of the work for which this perms is issued. shell not employ
any person in any manner so as to violate the work m s com pan cation laws of California.
OWNER —( "f�/��� S �i,�zz
ADDRESS
USE OF BUILDING -
FIRM SIGNED
280-10
1566 Primrose Wav C/ aci£ic _Coast _
ITEMIZE THE FOLLOWING, PA on l�ct�i;7u 3293 New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
ReceptaclesPanelboards Size Service Switch ,y
'Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers . KW Size Sub Feed Wires'
Ranges -` KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Li4hfing Power
Miscellaneous
Rough Inspection r� I—ZO- py
Final Inspection 6y
Remarks•
l.Z-