13594 8077 Park Villa Circle
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE <5 -? BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date----------------------------------------�4.- 19Z< Permit No.---------------)-3.7s-J---/..............
The
-35 -9--Y-...------
The undersigned hereby makes a plica ion }o ihv Elaet&ical Ins ecfor of the City of San Jose
fore permit to install cIo6l—r, l Hates a�d. ,wiring'/as lis}d on'�the icvarse side.
Exemption from raq&.4m i,40r<S%X of California for Contractors License is hereby claimed
by undersigned: %s owner ❑ statement filed [� '�� 6^'
Undersigned a"ests that his State of California Contractor's License # c;
is in full force and effect and properly authorize'th- m1plicati n.
San Jose City Business License # 47"00,�� �?
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any /�//a"nn (v�iol�l the workmen's co ens/�yon Ia sof California.
OWNER '���r �� Wf2U c� ( �� ✓ -
ADDRESSf�-
USE OF BUILDING
FIRM HILL ELECTRICAL' I E �%� �-
280-10 CONTRAM ORS-SU 9
8077 R&yrk Villa Cirri --ill
ITEMIZE THE FOLLOWING /��w / Old
Outlets Panels, Cabinets / Size Service Conduit
i
Switches / Switchboards Size Service Wires �✓
Receptacles _& Size Service Switch _169
/-
Fixtures 3 Festoon LampsSize,Sub Feed Conduit
Mercury /Lamps Dryers KW j Size Sub Feed Wirer_-i'
1
Ranges KW Heaters KW Number of Circuits
Signs Transformers Motors Numbe�r}o�ff Meters
HP Phase Ampere Loads d'LLighting Power
Miscellaneous ;-^
Rough Inspection 3-2/- 72, Ely t�a�o9
Final Inspection - -7- 7 Z B�y
Remarks:.2-8-7 Z