49681 1029 Tuscany Pl.
Building Permit Confirmed p/
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dafe------------------8.-25...-.7.6.............. 19_...... Permit No.......4 ------------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical f' -- s a i Jas.�/s M/� rys reverse side.
Exemption from requirement�4 �*a' gas License is hereby claimed
by undersigned: as own ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # 270068
is in full force and effect and properly authorizes this �pp lion/ryjjt n 67
San Jose City Business License # i
I certify that in the performance of the work forwhich this permit is issued-I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER PONDEROSA HOMES
ADDRESS
1029 Tuscany P1
USE OF BUILDING 1 Fam Res
FIRM Hill Fl PrTri r SIGNED 0-201n
1029 Tuscany Pl. 31/O�7/7jy Hill
ITEMIZE THE FOLLOWING n t/--7 V New Old
Outlets Panels, Cabinets _Size Service Conduit L
Switches Switchboards
Size Service Wires �r
Receptacles Panelboards Size Service Switch la _
Fixtures — �� Festoon Lamps—Size
Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires 2
Ranges __� KW Heaters KW Number of Circuits _
Signe / Transformers Motors `r Number of Meters
HP Phase—Ampere Loads /I
--ZLig�i"g Power
Miscellaneous p
Rough Inspection 2-2 By
Final Inspection
'Remarks: l I G �za. ,• �w w....c:, \ 4 —
3�6or)) s �la/S /S/� °'�'x`o�r���aauo 280-201n
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