22712 7930 October Way
Building Permit Confirmed ❑
Not Required ' D�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.....4V�./ 197 Permit No...cZ. 2..././KZ
The undersigned herek� ak !,ea��A1ca �syt a i(g Insy"e r of the City of San Jose
fora permit fogins+ell/�(ac� ca /s/it ui s4v d7 'rte i �s (`�fA�zfrti• tfreverse side.
Exemption from rPq e en�r�ai Califor i rContra�r's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ (/
Undersigned oPes+s a+ h' S+a+e a'forn' Co tr or' License # z '., ! 3Z C jo
is in full force and effodf S pert gi ze s a ied}i n
San Jose City Busi n//SS$aslWyense �/
I certify that in the performance of the work for which ibis permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER IVk,xl ,/;, f"G:
ADDRESS 79.3d
USE OF BUILDING
/ S'
FIRM Z)J�// �/f rSIGNED
280-10 p
7930 October Way Dahl
ITEMIZE THE FOLLOWING �o o / C` H �� New Old
Outlets Panels;Cabinets Size Service Conduit
Switches Switchboards Size Service Wires 2
Receptacles Panelboards Size Service Switch Fixtures
{
Fixtures - Festoon Lamps She 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 f9 e C �Z Si
Rough Inspection BY
Final Inspection —A(0-7�By
Re arks:(4v 730�P �
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