423117683 SHADOWHILL LANE L /
Building Permit Confirmed Bd'
Not Required ❑
CITY OF SAN JOSE BEING DEPARTMENT
p APPLICATION FOR ELECTRICAL ,PERMIT /
Da+e--- .I -4r. --- ]--------------------------- 19 -?.v. Permit No...... -----------------
The undersigned hereby makes applicatio o the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures an o li ony�f��i6 %see
Exemption from requirement for State n fPctpi s4ii4 hereby claimed
by undersigned: as owner sta}amen# filed ❑
Undersigned attests that his State of California Contractor's License
is in full force and effect and properly authorizes this ap
San Jose City Business License .f}'
1 certify that in the performance of the work for which this permit is issued I shallzno} employ
any person in anymcksnner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS —7 (Q (4k -f) C -j (-f ( C-(— A.^I
USE OF BUILDING *k /v i
FIRM �G%' 075 SIGNED
' 280-10(9-73)
7Wi SHADOWHILT, T,A.NF H. 0. 9
ITEMIZE THE FOLLOWING New Old
`Outlets Panels, Cabinets
Size Service Conduit
Switches Switchboards
Size Service Wires
Receptacles Panelboards
Size Service Switch
�C
' 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 Lighting Power
Rough Inspection 3 `-2a2 —7-/ B�� ~
Final Inspection \ — i(3 ---):
Remarks: By 7 Y Y� '----/
�— Jg' —(E 7 LV mP 2e 4l1�/srp 60 'i DU�'c • Qpl 1