21249 7770 Oro Grande POOL Building Permit Confirmed �/
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERRMIIT 7q 3s-d Xsz,�
Date........R.. �f-------------------------- 19.7-9 Permit No.------2L--ZS/.—(r -------
The undersigned herebyea4es,papplicatLon/10 the Electrical,lr's9ector of }he City of San Jose
s for, a,,Permit to install ale�ri�lr�fJ"" estafd�pJwirsji�e�'�oJthe reverse side.
Exemption from requirement lfor State of Cellfornia forIContrac}or's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Califo7ia Contractor's License # `rf
is in full force and effect and properly authorizes flusa plica}'on. //
'San Jose City Business License # , V.- � p o
' 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 JdL, n R R nn a ir-
ADDRESS 7 *7 o Ad G1R,4N p 'r PL
USE OF BUILDING S tOV&L E Ff/M iLd
FIRM j9oyrHG N v pG Ot- a SIGNED
r
' 280-201N
k5 3 _,�g
ITEMIZE THE FOLLOWING New . Old
Outlets / Panels, Cabinets ._� Size Service Conduit
Switches -1 Switchboards Size Servi aWires
Receptacles / Panelboardz Size rvice wi#chj�"'v
Fixtures Fesfoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters ' KW Number of Circuits
Signs Transformers Motors —A Number of Meters-
HP Phase_/—Ampere Loads Lighting Power
Miscellaneous
Rough'Inspection - �y ^ 6y
Final Inspection _ ff' "� y
Remarks: o01, 51.-r,((,Rnw ov., Tl¢16y�10 _
7,1/• 7 q N.8', �G.�l f26 074 o k e/',�6�3 -2�".��—//1• ,r lr.e 2 d'rC41 1�NM �9 ,
280-201 N