28925 1075 Kentwood Ave a Building Permit Confirmed �
Not Required ❑
CITY OF SAN JOSE BEING DEPARTMENT J
APPLICATION FOR ELECTRICAL PERMIT/ ��
Date.I .R..Y.....�. .-------------'----.. 197.-J.�/.. Perrni# No ...--------------
Tho undersigned eby makes apppplica+ion to the Electrical Inspector of)fhe Cify of San Jose
for a permit to ins+ yr; 11 �/or f t the reverse side.
Exemption from qu e f i fe ali w or n+rac+or's License is hereby claimed
by undersigned: as owner ,K statement filed ❑
Undersignedaffests that his Star-.-f qalifornia Contractor's License #
is in full force and effectand prop rly !fi, Fxes 1hi p}jcSif � �j
' San Jose City Business License ((Z �(� •/
1 certify fhat in +ha performance of +he work for which this permit is issued I shall not employ
any parson in any manner so as fo violate the workmen's compensation laws of California.
OWNER h o�lA�n R MgnfN
ADDRESS 127 S KtN-r W con A VC.
USE OF BUILDING
FIRM—0 WN yln_ SIGNED
zeo-10
7075 Kentwood Ave. HO
0
ITEMIZE THE FOLLOWING�a� New Old
Outlets = Panels, Cabinets Size Service Conduit J-1 r
Switches SwitchboardsSiie Service Wires
Receptacles L1Panel6oards Size Service Switch JeANP
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 LSLighting Power
MO�iscellaneous
Rough InspectionBy-
Final Inspection By
Remarks: C/ C��// j��¢eyvi�/va,f�l3r.coli .G''���o/�..��
JCI'C"'GO
/3 Y Q�
L—