24295 7644 WEST HILL DRIVE
Building Permit ConfirmxLQ_
" Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRIC LAP (�M�IT
' Date. -----KJ - / ' ---------------- 19 f fermi+ No..-[ .../-OS--/--c='
The undersigned hereby makes,application to the Electrical Inspector of the City of San Jose
for a permit to install cledrica u esiri s—Jid 7everse side.
E+emption from require is o� r s License is hereby claimed
by undersigned: as weer ❑ statement filed ❑
Undersigned attests that his State of Califorrr���a Contractor's License # •/ ( 7
is in full force and effect and properly author!i f�eppli ioyy /� /may
San Jose City Business License # j �(//(/ � G /
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's compensation laws of California.
OWNER ✓/FS/�/ /7rnrS
ADDRESS
USE OF BUILDING // h t' r
FIRM O!- �t-C' ,45k, /7r SIGNED lwaGf' C/ /l2Gliy
280-201n
7644 WEQT HILL DRIVE �J �- ' `' / ) NOR CAL
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