29620 (2) 992 September Building Permit Confirme��
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
- Date-------------------------------�1iq---- 1979 Permit No......... � ]i0--------------
The undersigned hereby ekes application to } Electrical Inspector of the City of San Jose
for a permit to in ele iT�10=11C bs isi the reverse side.
Exemption from ,aqui ,actor's License is hereby claimed
by undersigned: er ❑ statement filed ❑
Undersigned aflests that of CalifQr is Contractor's License #281330
is in full force and effect and properly �yt�ori d pplice}ions
San Jose City Business Licensense ##
I certify that in the performance of the work for which this permit is issuedl shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER CAGC-AMY10
ADDRESS 99/2 .01"/APer .D.Q
USE OF BUILDING S N E '77"/1
FIRM/` VA111 f//e /1661S SIGNED
280-10 (9-73) -
ITEMIZE THE FOLLOWING. New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Z Swifchboards Size Service Wires
Receptacles Panelboards Size Service Switcbm�. "U � ^
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 //.Z Phase �j
Ampere Loadsc a 0 Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection 9 I I-)y By
Remarks: 7-,x7_7!/ POW- Q ne a 0K
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