37183 44377 (2) 1352 Stelling Rd. Building Permit Confirmed
Not Required ` ❑
CITY, OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
! 4437 7
Date-..l--z1.7.) ...............__.............. 197.2.. Permit No..� -,-�� --- ---- ---` -----
The undersigned hereby makes application,fo the Electrical1 spocior of the City of San Jose
for a permit to install electr' i u / ii is the reverse side.
Exemption from requir or tracfor's License is hereby claimed
by undersigned: owner ❑ statement filed ❑
Undersigned attests that his State of Califor ' Contractor's License # r S23 9 0 3
is in full force and effect and properly eufhorize f plic
San Jose City Business License #—�— c
.I certify that ir�fhe performance of the work for which this permit is issue I shall not employ
any person in any:manner so as.to violate the workmen's compensation laws of California.
OWNER A .(: L7u'1 1. ec, k
ADDRESS L� 7 f i/ / k q—�j
USE OF BUILDINGPawn/ Ce -
FIRM-
28
IRM SIGNED
280-10 (9-73) �
1352 Stelling Rd. Sure
ITEMIZE THE FOLLOWING New Old
Outlets / s7-
Panels, Cabinets '- Size Service Conduit
$witches ,'y Switchboards Size Service Wires
Receptacles Panelboards'�Size.Service Switch /a--y
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 '72 Lighting Power
Miscellaneous
Rough Inspection —75'
Final Inspection �7 / yi�Z By
Remarks:G'-2,J�73 (Y /2 ..`.�`�"."�7•�.''G•'�;+[L�-4J/�� .�dec_-�.t (its..
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