49681 1021 Tuscany P1. �( G
Building Permit Confirmed
Not Required
CITY OF SAN JOSE z� _2v 1� BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date----------------..._8- 2S- 76----- _ 19---..... Permit No.-----'- '-/ A/---------------
The undersigned hereby akes ap lice ion to th Electric Inspector of the City of San Jose
for a permit to install el ric s e in on the reverse side.
Exemption from req ' r e f a if ria or ontractor's License is hereby claimed
1 by undersigned: s owner ❑ statement filed ❑
Undersigned attests that his State of Califor��JJ'aa Contractor's License # 220068'
T1' is in full*force and effect and properly authorises/f ' a pliyQiA�� / ']� 01167
San Jose City Business License # / r`�//,/// /X
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 the workmen'scompensation laws of California.
OWNER PONDEROSA HOMES
ADDRESS 1021 Tuscany P1 .
36
i
USE OF BUILDING 1 Fam Res 20`
FIRM Hill F1Prtrir SIGNED 2 0-201n
10.21 Tuscany Pl. 3�toh,)r Hill
ITEMIZE THE FOLLOWING ��Grli `fc �(/ New Old
Outlets' Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires P�Y
Receptacles Panelboards Size Service Switch _
Fixtures Festoon Lamps Size Sub Feed Conduit
Murry Lamps Dryers _� KW Size Sub Feed Wires - Z
Range KW Heaters KW Number of Circuits
Signs Transformers Motors .1 / Number of Meters _
HP Phase —Ampere Loads /4
Lighting Power
Miscellaneous
Rough Inspection By '�'K _.
Final Inspection }
7 By
Remarks: \'L�'),,,2�"'lV
280-201n
-f3. 72