29768 7622 Rainbow .Dr. —/
Building Permit Confirmed )!d'
Not Required ❑
CITY OF SAN JOSE BUILDING DEP
ec
APPLICATION FOR ELECTRICAL PERMIT 2 r '
Date---_..a................ 19..1.7. Permit No........../ r
The undersigned-harab kas applica+ion to the Electrical I c+or of }he Ci}y of San Jose
for a permit to ins}ell c c ri s �r '9''�/y/��+�e a revers. side.
Exemption from r ui ffosy/yfoYti actor's Lican a is hereby claimed
by undersigned: as owner ❑ s}afamen} filed
Undersigned attests that his State of CaUornia Con+ractor's License # 53 —02n9
is in full force and effect and properly e + s ep '�� �
SarifJose City Business License #
i I certify +ha} in +h. performance;of'tho work for which this permit is issu¢d I shall not employ
r any person in any �ma^nner so es fo viola+o the w/ men's c, Pon,.
on
laws of California.
OWNER
ADDRESS �a
USE OF BUILDII1NG.f
FIRM\/ &&a M frN�uC� SIGNED 'q 1 4UBy
zeo-to
/0-1I C4. &_Lt '
ITEMIZE THE FOLLOWING New Old
Outlets / Panels, Cabinets Size Service Conduit
Switches 3 Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch /eL!5'
' Fixtures Festoon .Lan(ps Size Sub Feed Conduit
Mercury lamps Dryers KW Size Sub Feed Wires
,r,b ' Ranges KW Heafers KW Number of Circuits
Ii Signs Transformers Motors ' - Number of Meters
HP - .� -3 �,�P�hasee Ampere Loads 4�4 Liigghtin�gp� Power
Miscellaneous 1C. C.'0C K.rZ iimvn
Go '_Rough Inspection By _
c! Final InspectionQQ�p
ywt By � z,„,�
CO Remarks: /-IZ-)q(,D'L I IV wut �V'c to `nuta/I, V ___ 'J&-M AIY_40- C,l .