36431 (2) 1464 JAMESTOWN DR.
r Building Permit Confirme
Not Required //❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
� 36�Date.. . _ - - - 19 Permit No..-..-- ._✓----.....-----.... ---------
The undersi d I ereb akes a lie io to the EI e�tfi��/Inspector of the City of San Jose
fora permit to install ele y is ft ry on the reverse side.
Eeemption from requi + B of if is o ontraclor's License is hereby claimed
by undersigned: Ps owner ❑ statement filed
Undersigned a+tests that his State ofrgid Con c1 's 1�fC // r_jg-.t.��s—L�-SJ
is in full force and effect and properly au+ r 6 is C/
San Jose City Business License
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER KkfJC
ADDRESS ALA ',�'AITIES!nU)4 Dp'
USE OFA'B'U`ILDING V4 `JWltft" 6
Q
FIRM S_ SIGNED
280-10
9
ITEMIZE THE FOLLOWING,, New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles _Panelboards Size Service Switch _
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 1svJCr&�Ibo":BQN%IN4 �NLY
Rough Inspection By /
Final Inspection 1S By 0
Remarks:G " 7..+� 0 Zzel-
,f 7 2/�.yy�a�� Z.0 //^"t /-G,