88187 (2) �s J61597 Prospect
i �� Building Permit Confirmed R
J Not Required ❑
CITY OF SAN JOSE �3////<e BUILDING DEPARTM
APPLICATION FOR ELECTRICAL PPERRMIIT-7
Da#e. ��z-�la✓ �o --- 19 //Permi# No.------o`-Y J- 7--------------------
The undersigned hereby�rndkezw p licaifo^ *.tffe EI'ec{rical.lyspec{or of the City of San Jose
for a permit to ins{all eleftriaa/,ifur s%andn/,or/sw�irin'g aazliifadaon the reverso side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ rls Livens filed
Undersigned attests that his State rl of California CMpplicA0* Lice ##
is in full force and effect and properly auihoriza�th%,- -ij
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I�shall not employ
any person in any manner so s to v'ol a the workmen's compensation laws of California. 0
OWNER
ADDRESS
CUP£iETM SIC INC. -
' 412 M - tqn Avenue SIGN
3uzWjN%,ito t9,a,1 ic90 rnia,94Q86
Cupertino
7597 Poospect
ITEMIZE THE FOLLOWING Old
Outlets / Panels, Cabinets Size Service Conduit
4,0 witches �� Switchboards Size Service Wires Aa
l4 eceptacles _ _Panel boards Size Service Switch �dDA
3�Fixtures Festoon Lamps Size Sub Feed Conduit
/Mercury Lamps � Dryers KW Size Sub Feed Wires
Ranges 2- KW/=7 1 Heaters KWNumber of Circuits
joj Signs Transformers _Motors Number of Meters /
HP PhaseAmpe Loads Lighting Power
g 1hscellaneous G� �
/'Rough Inspection — Al— S QBy'
Final Inspection (0 ` Gop B
Remarks: /� P�G�s� U y
_Z') Ll6.(moi-CLW