86122 (2) 7585 Prospect 1�
i Building Permit Confirmed I�
Not Required ❑
CITY OF SAN JOSE �1LDING DEPARTMED4T_,
APPLICATION FOR ELECTRICAL PERMIT
Date----------------------
---aY
for ehperm Te}olginsfall else f�cfiljit>tuPo ll�d�orng�s^/lisfa'd'al�on(t�e�erseh side.
of Sen Jose
Exemption from requirement foi4FState of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑' q
Undersigned attests that his State of California-Confractsor's License # ,y �b
is in full force and effect and properly autho�sj/his app li®1�_ /� rs�/�/1 7
San Jose City Business License # $,/ �/ ��//_L7
I certify that in the performance of the work for which this permit is issued.] shall not employ
any person in any manner so as to violate the workmen's co pensation laws ofCalifornia.
OWNER � �1 ,J � Vc9 Assnc ..
ADDRESS L�=r•
USE OF BUILDING F -
FIR CUPERTINJ ELECTRIC. Il§fNED
FORM 20 e 1
aratoga unnyvale Rd.
7585 Prosuiee� ino, California Cupertino (-�/y
ITEMIZE THE FOLLOWING New Old
u+le#s 20 Panels, CabinetsSize Service Condui# r
Switches �-� Switchboards Size Service Wires - `*
Recep+acles�� Panelboards Size Service Switch zmr _
3�'Fixtures Z� _Festoon Lamps Size Sub Feed Coridui#, f-
/�'-Mercury Lamps Dryers —J— KW Size Sub Feed Wires
I°iRanges__/_ KW / Heaters KW Number of Circuits _
Signs Tran formers Motors 3 Number of Meters _
HP _ ���" Phase oAmpere Loads Lighting Power
01 Miscellaneous I
��� G r �
is, Rough Inspection � By
Final Inspection
Remarks:
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