67112 7725- Oak Meadow Ct.
Building Permit Confirmed IS
Not Required ❑
n�r� I�CITY OF SAN JOSE BUILDING DEPARTMENT
S�
t4 go APPLICATION FORELECTRICALPERMIT
,I a Date.---------�2-^----�--�-------------- 19.C...Y Permit No.---- ------------------------------7�--� ...........
The undersigned;,heTeby rmakes appli elion ito the Ellec}rical Inspector of the City of San Jose
for a permit to install dfectrm'I {}}ural Snd/or/-wi,pg es list4d on'the reverse side.
/fJ ://iP.TN I, / Y..GC / 't
Exemption from regdue ant for05ta{o dfdCelif6rnw for Cantrecior's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑�6 p / /
Undersigned attests that his State of,Callifornia�Contract'or's License # O `Y 7"
is in full force and effect and properly e.thoriz s51his application.
San Jose City Business License # 4-�-��-- 1 l� C �Z.
I certify that in }he performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensationlaws of California.
OWNER L v Y
ADDRESS 77 2 -5 ��6 71,
USE OF BUILDING ,- ✓/H 2e
FIRM wee `� � SIGNED `
290-201N
1725 9ak�Nq,al o�Qtr IA*R,ext 9
ITEMIZE THE FOLLOWING New Old
Outlets Panels. Cabinets Size Service Conduit
Switches / Switchboards' Size Service Wires �Z
Receptacles _� Panelboards Size Service Switch rjre
FixturesFestoon 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 6T Lighting' Power
Miscellaneous
Rough Inspection By
Final Inspection
By
Remarks: y�
, 7e S£i�✓. 4i�./,,?o,��'/Ud d��-e�tc;£r�o.:KC'M�aO
AIf C-4, �l
290-201N