70566 7642 Elderwood Ct.
Building Permit Confirmed ❑��
Not Required �♦+❑
CITY OF SAN JOSEs1—/F=7�r BUILDING DEPARTMENT
�y� APPLICATION FOR ELECTRICAL PERMIT / /�
Date?�1--�---' -/7- -- ---- 19.�Y Permi# No.----7�Y...................
Thundo signed hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to incl l'yJ��ef�`ic ei n er�,ii(�� sled on the reverse side.
Exemption fro aStFe� of
'ya11er Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his Stateof/ -ns
.QL�I e s ' s
is in full force and effect and properly onzes t i a
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ',
any person in any ma ner so as to violafe theworkmen's compensation laws of California.
OWNER A 1-71
ADDRESS �'z
USE OF BUILDING
FIRM�� ����� SIGNED
290-201N
ITEMIZE THE FOLLOWING' New Old
Outlets Panels, Cabinets - Size Service Con /
Switches � Switchboards Size Service ire _
Receptacles Panelboards Size Service Sw ch / _
Fixtures Festoon. Lamps_ Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Gi•cuits
Signs Transformers Motors Number of Meterz�/
HP Phas Ampere Loads Lighting r Power
Miscellaneous '
Rough Inspection _ — _c
Final Inspection By "-
Remarks:
200-201 N