89605 (2) 7609 Prospect
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE (D BUILDING DEPARTIVIENI
APPLICATION FOR ELECTRICAL PERMIT
Da+e. _. - ----�- 19CoD Permit No.... -. Y1.-�.. ----------.---.-
e undersigned he y make,,�^^applic�gn^to th%r Elecirjcyl Inspeoto5 of the City of San Jose
f a permit to install electrical/fixtdre'� nd 0",wiring alh+e ��h�e reverse side.
Exemption from requirement♦•fo4477F Sf e ohCi9ror onfrac#3r's License is hereby claimed
by undersigned: as o ner ❑ statement filed ❑
Undersigned attests that his State of CaliforniaRnxractor's License # /79e37
is in full force and effect and properly".ufhorizes I's/apphca{i '/� y'���C�'
San Jose City Business, License # / y, ��T'�II �C2
1 certify that in the performance of the work for which this permit is issued I shall
any person in any manner so as to violate the workmen's compensation laws of Cglifornia.
OWNER
ADDRESS
USE OF BUILDING
CUPER':INO ELECTRIC . I C. SIGN
F�RM
Foe1 F�aad '.v, Yn venue
Su7.609aPj,ors'pecft°rnia J4036 Cupertino
ITEMIZE THE FOLLOWING New Old
!~Outlets Panels, Cabinets Size Service Conduit
Y�'Sitches � Switchboards Size Service v
'Sitches
Panelboards Size Service Switch
,?3%Fixtures Festoon Lamps Size Sub Feed Conduit
—"Mercury Lamps Dryers KW Size Sub Feed Wires
OfRanges _,�_ KW As 1 J_leaters KW Number of Circuits
Signs Transformers Motors a3 Number of Meters
�'HP Phase o!��Ampere Loads Lighting Power
TFihal
aneousInspection " �3— By
nspection By
Remarks:
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