43114 7642 Peachblossom
// Building Permit Confirmed
Not Required
CITY OF SAN JOSE 3-31_7G T�"� BUILDING DEPARTMENT
,APPLICATION FOR ELECTRICAL PERMIT
Date-----------G. -'z-�f--------------- 1976 Permit No..........CJ
The undersigned hereby makes application fo the Electrical Inspector of the City of San Jose
fora permit to install electriealVP d'uiesgend/or wiring as iii}ad on ihe.revarse side.
Exemption from requiram of f1 State-of C{Ihorn'ia ?or'Co�k��ri License is hereby claimed
by undersigned: is owner ❑ 1 statement filed��z J '� I '
Undersigned atlas}s that hi�S�afe of�Calilordia Ccniracfor'saL'iee'n`sa` l
is in full force and effect and�prop yvaut o fixes this ar pli aft �D�AG
San Jose City Business License # �^ //
I certify that in the performance of the work for which Phis permit is issued I shall not employ
any person in any rn: n ��+t to violate the wo kmen's compensation laws of California.
OWNER
//7 C/�.rs/P���
ADDRESS
USE OF BUILDING
FIRM'��w�����= SIGNED
280-201n
7642 Peachblossom Tk1-,
ITEMIZE THE FOLLOWING New Old
Outlets Panels,Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch
Fixfures Fesfoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW—I Heaters - KW Number of Circuits _
Signs ' Transformers Motors Number of Meters
HP... 141 7L Phase ' AmLoa]ds �Li n power
MisceIa ous
Oe
Rough Inspection�", By
Final Inspection . B
Remarks: y.�
280-201n