24573 7709 Oalfineadow Dr.
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PEER/MIT
Date----....._........ 19A Permif No ---- ..----...........
The undersi ned r8 y akes a9 lication to the Etectrica sector of the Cit of San Jose ,
for a permit to9in+a�1 j�,f� yrfiargess^a F. I. it st o Pthe raverse side.
y
Exemption fr�wregdiiiem �f"fpjY �off onirecfor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his Stat of ��alifornia�Conira-ptpr's cons # Z6�-70
is in full force and effect and prop I�adllli rixos d e.pP Jf�'o� �/�
San Jose City Business Lieens �� :4A" A plepg jV'
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any er so as to violate the workmen's compensation laws of California.
OWNER
ADDRE
USE OF BUILDING t
FIRM
SIGN
280-10
r 7706,>Oal�eadow A & A Bldg.
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles —_Y� Panelboards Size Service Switch 60
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
Rough Inspection — / 7--73 By W' �/
Final Inspection r (/ By �d/Q
Remarks: q-1 3-73