29900 (2) 992 September Dr. Building Permit Confirmed ❑
7-/ 7-71/ Not Required --Ei--
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
---- ------------------------ 19,;../ Permit No.------"'---------------------------------------
Th.
......... ....----"'....._......The undersigned haroby kes application fo the Elec .inspector of the City of Sen Jose
for a permit to install ele rice f / w' i as t �rse side.
Exemption from requi ifo r o r License is hereby claimed
by undersigned: as r; statement filed ❑
Undersigned attests that his ate Calif is C actor's License
is in full force and effect and properly'author;. 1.1r olicafion
San Jose City Business L;cense # ✓ 2!
� �j �
I certify that in the performance of the work for which this permit is issued I shall �nm employ
any person in any manner so as to violate e w kmen's compensation laws of California.
R
OWNE �� Ano��1�
ADDRESS �'r
USE OF BUILDING / —~
FIRM SIGNED r
280-10
1992 SPDtP.mbPr Dr.
1
ITEMIZE THE FOLLOWING New Old
Outlets Panels;.Cabinets Size Service Conduit
lAy
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch Q
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 Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection ��77 By
/
Final Inspection — /[p-7 By
Remarks: