55877 7623 SQUIREWOOD WAY (HO)
Building Permit Confirmed �/�
0
Not Required ' r/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date...? 7_13777.-- 19........ Permit No------- Q../....-/..------
The undersigned hereby m es application to the ElecLical I ector of the City of San Jose
for a permit to install elecir' ri s o the reverse side.
Exemption from require en o fa ,,,o,,,{{{ Ce nia or rector's License is hereby claimed
by undersigned: z owner y� statement filed ❑
Undersigned attests that his S+e}e of California C6Ajractors License
is in full force and effect and properly authorizes chis;
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I s fall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER Thti /f • -!�(Y70e/ .4 kFw
ADDRESS 713 SGyl /l7EL(/004 IN1QV
USE OF BUILDING
FIRM I Ll6SIGNE '
290-201 N /
ITEMIZE THE FOLLOWING New old
Outlets_Panels; Cabinets Size Service Conduit
Switches 3 Switchboards '' Size Service Wires
Receptacles �//// Panelboards Size Service Switch
J 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
_7 Lighting Power
Miscellaneous
Rough Inspection B
Final Inspection By
Remarks: 9-i3-77.SSf"- -
2a0-201N