96388 (2) 4040 Colony Hills
Q � •� a� Building Permit Confirmed LV]'
lu Not Required ❑
CITY OF SAN JOSE JULLDING DEPARTM�E�t I
AP
�/p. -LIGATION FOR ELECTRICAL PERMIT
Date Y' . ...................... 19--- --- Permit No.- '-�_.J�--CF ..........................
The undersigned eb a s pp' a - to Eta ri J/IRS�ctor of the City of San Jose
for o permit to ins+ e c or rin I' d the reverse side.
E.en ion from qurreme or a e of Ca ifornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned aftesfs that his o ate o{ alifor is Con{ract 's License
7-9 03
is in full force and effect and properly app.
San Jose City Business License �r
I certify that in the performance o( + a work for which +his permit is issue[ I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER W4 ho
ADDRESS/e y U x0,& y I�iGL✓ LIv•
USE OF BUILDING-GAJ/—
}�Fiyvl v.(J
MM (g42_4tt�6 SIGNE
zee-ro
1,040 Colony _Hills Ln Johnson
ITEMIZE THE FOLLOWING " r/ New Old
Outlets Panels, Ca6inets Size Service Conduit /
Switches _=Switchboards Size Service WiresZ
Receptacles Panelboards Size Service Switch
Fixtures S Festoon Lamps_ Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits �D
Signs Transformers Motors 2- Number of Meters
HP —� Nr ' �7Phase —Ampere Loads Lighting Power
Miscellaneous�ppL �6f/l= .ft.•hA/?GY�� /p'z�jf�q�y/ I ifLye„
Rough Inspection — J---C-G y By_
_U,���,�.,�
Final Inspection By_f�XD*liDnc� '
Remarks: /{/' AKIP �l1flLc�r
J-/Y-G 9 F/ tr,,.e%oGiC i+c�e:+o..aT'���+.,...yi en CtJ w.ri.+-� �,..-/'<-•� r'y