57423 '7850 Orion'
Building Permit Ccnfirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
9 APPLICATION FOR ELECTRICAL
Date--v.� --- 12 / 19.%��Permit No.-----------_�.,T. - -------- ......
The undersigned e�alb kas ap�lic info the Electrical Inspector of the City of Sen Jose
for a permit to install(ele c a d$/oJ779 f as r a on the reverse side.
Exemption from re i em t for >A -`of��al o is ontrac}or's License is hereby claimed
by undersigned: Y as owner ❑ statement filed ❑
Undersigned a}fests that his Stqtg�o el iforn��pp Cont }or's License # �' -e is in in full force and effect and prope'fl}+ fhbri a{f shi' e a
San Jose City Business License�;
I certify that in the performance of the work for which this p if is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
is OWNER
ADDRESS r/A/P2 41V Al<— C ///a/
USE OF BUILDING
FIRMihi,C/V C.Gu2�,1•�r�.SIGNE �l
2 0-201n /
ITEMIZE THE FOLLOWING New Old
Outlets ?._ Panels, Cabinets r Size Service Conduit ��
Switches Switchboards Size Service Wires
Receptacles 61 Panelboards Size Service Switch
Fixtures Z Festoon Lamps p 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 LQ�Lighting Power
Miscellaneous
Rough Inspection
Final Inspection _ �-� 7� By
Remarks:''/2- C- ) 7 SX5 11r11 Q,YityL_ l-, 3-J f SE/d P_ 4>
280-201n