9559 7395 Rainbow Drive Building Permit Confirmed
' Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(
G ._ ------------------_-------
Date -- �... / 19.2V Permit No.-------------- =- �----------------
The
- -The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures end/or wiring as.listed on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed El
Undersigned attests that his State of California Contractor's License # 2G 3'2`3
74
is in full force and effect and properly eu ;izes this application.
San Jose City Business License # 'yam'—�L yl
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 thew rkmen's ompensation laws of California.
OWNER
ADDRESS
USE OF BUI4DING
FIRM SIGN /
280-10(10.69)
7395 Rainbow Dr. John Perry
ITEMIZE THE FOLLOWING b L� 1?e New Old
Outlets C - Panels, CabinetsSize Service Conduit �-
Switches YL Switchboards Size Service Wires
Receptacles 'P.Z- Panelboards Size Service Switch .aW _
Fixtures /- 5/ Festoon Lamps Size Sub Feed Conduit r�
Mercury Lamps Dryers KW Size Sub Feed Wires �.
Ranges _.5 KW 4)�__ Heaters -—'KW Number of Circuits _
Signs, _, Transformers Motors -1-(7 Number of Meters .c
HP Phase Ampere Loads Lighting Power
Miscellaneous
RoughInspection _ s-C"7i By
Final Inspection Byo+e�
Remarks: Cr• 19.)%x/ /Cvjtivae r 7r.e.7L .
-a,)`/��to -N �"/o .w;w.e �) �d•..y'r/c+e/i?`'"""""'��'�e/�q�