7325 870 Ferngrove Dr. /
Building Permit Confirmed 0
Not Required 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date....lLc>.'------ /...--L--�-�----- -------- 19///777_0- Permit No.--- -. ... .. ...................
The undersigned hereb makes ap� n to fhe�Electri al pector of the City of San Jose
{ora permit to install of n the reverse side.
Erempiion from re r o S fe a ifornia or Contractor's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State oCalifornia•Con4racfor's License #
is in full force and effect and properly v6 u}h"Nes this'�Tjpli
San Jose City Business License # f�
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 wZen's compensation laws of California.
OWNER /q b���r fC` �'e�
ADDRESS l�
f p
USE OF BUILDING AP ' �4a,&Azz Oo
FIRM f e- SIGNED Lei L
280-10' q
870 Ferngrove Dr. 1 Vischer � ' /
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/"fQ�Number of Meters
HP Phase /—Ampere Loads Lighting Power
Miscellaneous .,j'!y�'/n/K 1' 'h /i 7a 1,
J
Rough Inspection By
Final Inspection By �����
Remarks:3_'3.71 y ��
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