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28925 (2) 1075 Kentwood Ave a Building Permit Confirmed � Not Required ❑ CITY OF SAN JOSE BEING DEPARTMENT J APPLICATION FOR ELECTRICAL PERMIT/ �� Date.I .R..Y.....�. .-------------'----.. 197.-J.�/.. Perrni# No ...-------------- Tho undersigned eby makes apppplica+ion to the Electrical Inspector of)fhe Cify of San Jose for a permit to ins+ yr; 11 �/or f t the reverse side. Exemption from qu e f i fe ali w or n+rac+or's License is hereby claimed by undersigned: as owner ,K statement filed ❑ Undersignedaffests that his Star-.-f qalifornia Contractor's License # is in full force and effectand prop rly !fi, Fxes 1hi p}jcSif � �j ' San Jose City Business License ((Z �(� •/ 1 certify fhat in +ha performance of +he work for which this permit is issued I shall not employ any parson in any manner so as fo violate the workmen's compensation laws of California. OWNER h o�lA�n R MgnfN ADDRESS 127 S KtN-r W con A VC. USE OF BUILDING FIRM—0 WN yln_ SIGNED zeo-10 7075 Kentwood Ave. HO 0 ITEMIZE THE FOLLOWING�a� New Old Outlets = Panels, Cabinets Size Service Conduit J-1 r Switches SwitchboardsSiie Service Wires Receptacles L1Panel6oards Size Service Switch JeANP Fixtures _ -- Festoon Lamps Size Sub Feed Conduit Mercury Lamps Dryers - KW Size Sub Feed Wires Ranges KW Heaters KW Number of Circuits _ Signs Transformers Motors Number of Meters HP Phase Ampere Loads LSLighting Power MO�iscellaneous Rough InspectionBy- Final Inspection By Remarks: C/ C��// j��¢eyvi�/va,f�l3r.coli .G''���o/�..�� JCI'C"'GO /3 Y Q� L—