44102 7515 MOLTZEN DRIVE Lot 12
Building Permit Confirmed Ie
Not Required ❑
CITY OF SAN JOSE
7-7L JUILDING DEPARTMENT�
APPLICATION FOR ELECTRICAL, PERMIT
MAY 9 FA i
Da+e------------------------------------ 19------- Permit No. -k\¢�..c�--a....
The undersigned hems ap licati/ to Electrical Inspector erre Ci. of San Jose
fora permit to ins} ri M/f�} /o A s} d on the reverse side.
Exemption fro f a e al' rma of
License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ 278674
Undersigned a{tests that his State of (plifornia Contractor's Licens rrr��srrr��y
.is in lull forte and affect and properly aui S'ihis a Iic�tiogP n —r0y.�77
San Jose City Business License # /� K-
I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Three Oaks
ADDRESS Lot 12, 7515 Moltzen Dr. Plan 1900
USE OF BUILDING 1-fam. res. 1691 s . ft.
WANOERF R UCTRIC. INC. " ED gr, �
280-10 (9-73) / A
7515 MOLTZEN DRIVE ti�3anderer
ITEMIZE THE FOLLOWING -3 New Old
Outlets /f/ Panelsl•a-�u• :.A_�._$ize Service Conduit
Switches _ �i�/ Switchboards Size Service Wires
Receptacles 3g Panelboards Size Service Switch
FixturesP=� estoon Lamps Size Sub Feed Conduit
Mercury Lamps L, Dryers KW Size Sub Feed Wires 3
Ranges._LKW Heaters KWTNumber of Circuits .� _
Signs _V Transformers Motors _" Number of Meters
HP
Phase Ampere Loads Lighting Power
Miscellaneous S(/Lfyr �+��y
Rough Inspection / ? p Zy
Y
Final Inspection R--'W .—'7 L�
Remarks: 7—/9 •7.C C7 c. w By