91076 (2) 7723HuntVLc&e
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date_------ ....l---3.. 196P Permi+ No _----9/4)7(.-
j
The undersigned reby k s a plJJ'GGjj}iofry EI 'c I c r of the City of San Jose
fora permit }o ins}all eloe mipr sl'n li/� License
side.
Exemption from requ a o �te alt ornia r C n}ra clor's Licenso is hereby claimed
by undersigned: a owner ❑ statement filed
Undersigned attests that his State of iforri Contractor's License , —� J
is in full force and effect and properly aut ri is app'
San Jose City Business License
I certify that in the performance of the work for which this permit is iss d I shall not employ
any person in any manner so as to violate the workmen's compensaf(i�on llaw of California.
OWNER
ADDRESS
USE OF BUILDING_
FIRM �j r /7SIGNED
_�Jt� S E UaM `gyp1 Q^,
FORM 280-7
e0 7723e'Huntridge �U�Q `� Best
_ /
ITEMIZE THE FOLLOWING New Old
1
Outlets Z Panels, Cabinets Size Service Conduit
Switches 3 Switchboards Size Service, Wires
ReceptaclesTPanelboards Size Service Switch OO'
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Hea+ers KW Number of Circuits
Signs Transformers Motors Number of Meters '
HP Phase Ampere Loads Lighting Power
Miscellaneous r /
Rough Inspection By o
Final Inspectionq 7y gy
Remarks:/e)_/,0 -�/CI �J' /yM iG>GGGysr+�+�•.�id�.: �v�wP lv` ..r,.7Q /�
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