44102't 504 KINGSBURY PLACE Lot 4
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dame---------------------D9AY 9 19J-------- ------------
9J-- //
19 - Permit No - d- --
!;The undersigned hereby m es app' }' n Ise-c1n al 4or of the City of San Jose
fora permit to install eledr' al r / via[e reverse side.
Exemption from require nt or a e of Cahfo nia/for ontractors License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ , .278674
'l Undersigned attests that his State of Cali is Contractor's License #
is in full force and effect and properly authori s hepplica}'
�San Jose City Business License # v
1 certify that in the performance of the work for which this permit is issued f shall not employ
any, person in any manner so as to violate the workmen's compensation laws of California.
THREE OAKS
OWNER
ADDRESS
Lot 4, 7504 Kingsbury PI. Plan 1900
USE OF BUILDINGI-fam. res. 1691 sq. ft.
1NANDEREII�IrEIC1'RIC, IfiC."
SIGNED +cli
280-10 (9-73) 1
Wanderer
17504 ;KING$BURY PLACE
ITEMIZE THE FOLLOWING ��•8Z
.,New Old
�i
Outlets au Panels,-Cabinata� Size Service Conduit S
Switches Switchboards Size Service Wires C
Receptacles '" Panelboards Size Service Switch
Fixtures 7ZG�r (p stoon Lamps Size Sub Feed Conduit
Mercury Lamps G� Dryers _-/— KW Size Sub Feed Wires" J'
Ranges KW Heaters KW Number of Circuits �"Z _
Signs Transformers Motors 4Z Number of Meters
HP Phase Ampere Loadsc�L Lighting Power
Rough Inspection 7- �Q- % - �G Q j
p
Final Inspection . l'0 1(, By
Remarks: '7w -Z-7-74. 6; '1 _