257267415 Building Permit Confirmed l�
. � Plum Blossom Dr. g �
No+ Required
CITY OF SAN JOSE BUILDING DEPART��NT_
APPLICATION FOR ELECTRICAL PERMIT_,6 �,
Date -------------------------------- / J----- ---- 1977 Permit No.--ottT/ga�4
The undersigned hereby makes �plicetion to the Electrical Inspector of the City of San Jose
for a permit to ins+all €leefiical'iiitures fid/ r wiringTas'I' bdo. the reverse side.
Exemption from r ramori� or � alifon7re Co� 4or's Licensp�s-hereby claimed
by undersigned: �s owner ❑ statement filed D
Undersigned attests that his State 7*C�Oifornia Contractor's License # .L J
is in full force and effect and properly authorizes th�plii'j(�� s—/San Jose Ci}y Business License 5.'��
I certify that in +he performance of the work for which this permit Wissued I shall not employ
any person in any manner so as toyiolafe the workman's compensation laws of California.
OWNER
ADDRESS 0�
( USE OF B D G
ly
FIR SIGNED_—.
A
280-10 ^
Z l/q,
ITEMIZE THE FOLLOWIN 1 , NewF 'Old
O I
u+etz
Panels, Cabinets
Size Service Conduit
Switches
Switchboards
Size Service Wires
Receptacles
_ Panelboards
Size Service Switch
Fixtures
Festoon Lamps
Size Sub Feed Conduit '
Mercury Lamps
Dryers KW
Sire Sub. Feed Wires
Ranges
KW Heaters KW
Number of Circuits
Signs
Transformers Motors
Number of Meters
_
HP
I,-
Phase —Ampire Loads Power
1. —Lighting—
Rough Inspection By
Final Inspection %-/4-)By
Remarks: /y-iy.) j .Q.ImCC