99175 7533 Heatherwood Dr — /
Building Permit Confirmed IjJ�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
-Date------ 150-- --------- 19------.. Permit No.-----7-// -'-'------------------
The undersigned her 'y makes ap licet'on 40 4 e Eleci ' al Inspector of the City of San Jose
{ora permit tog install s / w is d on the reverse side.
Exemption from re or +e r a Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ a� rl
Undersigned attests that his State ggqqq9!!!���f C Ijornia Cyyy tractor's License # f�
is in full force and effect and pro perh/aTl+}�uyes 4h�(jp�lc/f��/
San Jose City Business License # (� /,(�� \/ Y Y/
I certify that in the performance of the work for which this permit s issued I shall not employ
any person in any me eer/sod as to violate the workmen's compensation laws of California.
OWNER
ADDRESS
US4OFUILD NG
FIR IGNED
280-10
7533 Heathpt-wood 3-23-'1( N&W
ITEMIZE THE FOLLOWING; New .. Old
Outlefs Panels, Cabinets Size Service Conduit
Switches �-/ Switchboards'- Size Service Wires may"
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 .Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous 3-2(.-
Rough
-2(e7Rough Inspection v By .n
Final Inspection
3-��0-�� By py�d'-M ,.-�•
Remarks:
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CS) A--M
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