52352 7373 FALLEN LEAF LN. *13 Building Permit Ccnfirmed El
Not Required L7
CITY OF SAN JOSE BUILDING DEPARTMENT
T
APPLICATION FOR ELECTRICAL PERMIT
Date_L17--- . ----t--......zU-------------
1921 Permit No.... ---------------------------------------
The undersigned hereby makes application to the Elect I Inspector of the City of San Jose
for a permit to install clgc�i I �-*eijin st d on the reverse side.
Exemption from req en r S o alt r a r Contractor's �License is hereby claimed
by undersigned: as owner ❑ — /� ✓fj•�d
Undersigned attests that his State oI C i ie C ra or.
Lice
is in full force and effect and properly authorizes this application.
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNERf�7�1L�
ADDRESS
USE OF BUILDING MUc Tl E7'41v11 Y fl%-:2
/NGT
FIRM S�6�GA �A�Y/fL51GNED n
7373 FALLEN LEAF LN t13 5ARATWA CAPTAC
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboardz Size Service Switch 7a
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 5e2✓IC(
Rough Inspection 6
eZ��7 / y
Final Inspection By
Remarks:
280-201n