48242 884 Ferngrove Dr. /
Building Permit ConfirmedZ
Not Required ❑
CITY OF SAN JOSE B, UILDING DEPARTM
APPLICATION FOR ELECTRICAL PERMIT
Date-"-'/.�---- -/..•L...---.-.------ 1976.. Permit No.M..-.76
The undarsigne hog��
n,to the lechicel Inspector of the City of Sen Jose
for a permit to ' sfa listed on the reverse side.
Exemption r i nie for Contractor's License is hereby claimed
by undersigned: 4�,-4 F 9r s-.I, J 3
Undersigned atlas}s That his Slate of C or//uuaa Con ree}ors Li/ee s�e ('�-���
is yin full force and effect and properly authorizes this application.
San Jose City Business License # �/ e�G ,, n.
I certify that in the performance of }he6 for which thispermit is issued I shall not employ
any person in any manner s/9 as } violate the workmen's compensation laws of California.
OWNER �X iiJ �/^ 'e �n1�115�
ADDRESS
USE OF BUILDING
FIRM a efZ c //c SIGNED
280-201
884 Ferngrove Dr. Buck Elect.
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