434737736 OBSIDIAN CT.
Building Permit Confirmed C1 /
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR
ELECTRICAL PERMIT
Date ------l-3---A.J.°A---------------- 1971 Permit No. ---/g 2
- ..........J�
The :
undersigned hereb�makes application ta'fh Electriulsllns eNor of the City of San Jose
for a permit to install efecfrica`L�xf`urei a d or�wiri g As�lis`fa,on �hee�erse side.
Exemption from requirem¢ ''�//o�State�ol California for Contractor's License is hereby claimed
by undersigned: {was owner Ig statement filed ❑
Undersigned attests that his State of /Ge`lifornia, Contrgcfor's License #
is in full Force and effecturines and properly eIFior- this /p ��n'�
San Jose City Business License # � � � c
I certify that in the 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 compensation laws of California.
OWNER x /niut A. l" S/-IE/LA T1 K tj s7 -r- J'
ADDRESS 7736• O6s/dtccn CT
USE OF BUILDING PYI'y��fcytsrc�cncc �5/tiGI.F �h/air)
FIRM SIGNED *�^�
2�0-201n
7716 OBSIDIAN CT. H. 0.
ITEMIZE THE FOLLOWING
Outlets
Switches
Receptacles
Fixtures
Mercury Lamps -
Ranges KW
Signs Transformer
HP
Panels. Cabinets
Transformers
Size Service Conduit'
Switchboards
Size Service Wires
Panelboards '`
Size Service Switch _
Festoon Lamps
Size Sub Feed Conduit
Dryers KW
Size Sub Feed Wires _
i
Heaters KW _
Number of Circuits _
Motors
Number of Meters—
Phase Ampere Loads 1� Lighting
MiscellaneousiS- ,
New Old
Power
R
Rough Inspection By
Final Inspection — 6;_5
Remarks- y_z3 anm��ai�
a �fw I ice- -�z 7_� 0�3.� Nshcp•�,2J�
�f •ag-�6
Oln