26011 7643 Shadow Hills Lane
Building Permit Confirmed E '
Not Required ❑
CITY OF SAN JOSE ( _30~73 BUILDING DEPARTME
APPLICATION FOR ELECTRICAL PERMIT �—
Date----/-1-~-"�---/------ ---------------- 1912 Permit No.-1-2,4 .-0.1 -----------------
The undersigned hereby makes ap cation to the Electrical Inspector of the City of San Jose
for a permit to install electrical ii,x as n / iri 'jie e r side.
Exemption from requirement f o of r c s Dose is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State of California Con ct Li
uth
is in full force and effect and properly aorises this p e
San Jose City Business License # a ^/
!% �L7
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in any manner so as to violate theworkmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING ZGl
FIRM a-'J42t' / f' SIGNED
280-10
7643 Shadow Hill Lane Righby :.
ITEMIZE THE FOLLOWING New Old
Outlets }/ Panels, Cabinets Size Service Conduit xv
Switches c2- Switchboards Size Service Wires 2
-
Receptacles L _Panelboards Size Service Switch 100,69 _
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase—Ampere Loads . 2
Lighting Power
Miscellaneous
--------------
Rough Inspection _�J7 3 By
Final Inspection B
Remarks://_q_?3 Ok
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