44102 (2) 7495 MOLTZEN DRIVE Lo 10
Building Permit Confirmed 11d'
Not Required ❑
CITY OF SAN JOSE ���3��� BUILDING' DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
MAY g 1976 -4 0—/ d 3—
Date--------------------- --------------------- 19--- .. Permit No.... -
The undersigned hereby makes application +o + e E cc rical Inspector of the City of San Jose
for a permit to install cc i I ' w sted on the reverse side.
Exemption from r or a orn, or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ 278674
Undersigned aftests that his State of Ca Con+r oj����//
W&
is in-full force and effect and properly aufh r' is ap�'/ 077
San Jose City Business License fir`
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 THREE OAKS
ADDRESS Lot 10, 7495 Moltzen Dr. Plan 1900
USE OF BUILDING
1-fam. res. 1691 sq:ft.
)H01DERER ELEDfnIC, 1hC.`
FIRM SIGNED /
280-10 (9-73) 1 �}
7495 MOLTZEN DRIVE Wanderer /�
ITEMIZE THE FOLLOWING �L New Old
Outlets �`'� Panels,-�-"-- Size Service Conduit
_ `,� Switchboards Size Service Wires
Receptacles 3'� Panelboards Size Service Switch ���
/L
Fixtures ? 1F Festoon Lamps Size Sub Feed Conduit
Lamps l/ Dryers KW Size Sub Feed Wires/ -3
Ranges _L KW Hea+ers KW Number of Circuits -�� _
Signs Trgnsformers Motors �Numberof Meters j _
Miscellaneous
- / t Phase Ampere Loadsg)•3 Lighting Power
Miscellaneous �l�Y (- 94 S/.-2
Rough Inspection 7 Z 6 By
Final Inspection
Remarks:4)—jCF,-) Y. v sA