42153 7373 FALLEN LEAF LANE
Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
-:' _ -- ��/S3
Date ....... J --------------------- - 19.7�Permit No..---
- - --
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
fora permit to install a rija r �,�yp/o ri on the reverse side.
Exemption fromi#rf �#L{e by/Cdl'yod r f"onfracfor's License is hereby claimed
by undersignas owner ❑ statement filed Cqn ,�/
Undersigned attests that his f'Celi fi r rj nse # rx /���� /
is in full force and effect and proyE aufh iof z`6i f4us a #io . _
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 manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS _:Z ? 7
USE OF UILDING - 33
FIRM "' GAJ SIGN
zeo-io
7979 FALLEN LEAF LANE T)OTJOS ELECT.
ITEMIZE THE FOLLOWING .%jorj?") New Old
Outlets Panels, Cabinets ! Size Service Conduit
Switches !% Switchboards Size Service Wires
Receptacles �_?Panelboards Size Service Switch
Fixtures Festoon Lamps iSize Sub Feed Conduit
Mercury Lamps — Dryers KW Sire Sub Feed Wires ��-
Ranges KW n-Z eaters KW Number of Circuits _
Signs Transformers Motors�'�/�'Number of Meters
HP --;2'x A, '- Phase—Ampere Loads -2__ry
Lighting. Power
Miscellaneous 4C. -.7
Rough Inspection _ —2 By
Final Inspection I Y-7 4 B
Remarks:
42'�i.�G.c@4-�uao® c�awow�.,�,�,_J.