89605 (2) 7621 Prospect
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE (� —�D_(,g BUILDING DEPARTMENT
APPLICATION FOR ELECTROEQR/MIT L
Date.. c��s!-r- .� 19.Z Permit No.... /. c)-3'.............
e undersigned h./y— s applica�on tpp the Electric I,Irspector of the City of San Jose
fora permit to install ole�rlr'ric �{r�rr nd raw-p s�q as lis W on the reverse side.
Esemption from roquiro en ray a F CSlifornia for C�tracior's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Cahf$rni8'Contra�f�r'g //Me ,z
is in full force and effect and properly authkii., ap`p�fIrC�Z i66r�•�T 0
San Jose City Business. License #
I certify that in the performance of the work for which this permit is is ued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of Califorfia.
OWNER —��/ � iii
ADDRESS
oZ/
USE OF BUILDING —
rumrTINO ELECTRIC , SIGN
K"p�r,{�za5-n�a+e�t�f3 Yn r1111uu (�
Su,7"6YU Pi-d ,ctQrnia Ja086 t Pr,ospec.t P /
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service((�((oncluit I /
f'v Switches Switchboards Size Service 'Wi�
Receptacles --N5�r_.Panelboards Size Service Switch o
Fixtures � Festoon Lamps_ Size Sub Feed,Conduit
/V'Mercury Lamps Dryers KW Size Sub Feed Wires
4�9Ranges KW 6yHeafers KW Number of Circuits _
Signs Transformers Motors dZ Number of Meters
7i HP Phase may'Ampere Loads Lighting Power
ellaneous
of
�O ugh Inspection By (�(/
Final Inspection �(e By �GX.C7
Remarks: tf—c.)