36348 (2) 7842 Orion Way
Building Permit Confirmod4a--V�
r _
Not Required
CITY OF SAN JOSE BUILDING DEPART
APPLICATION FOR ELECTRICAL PERMIT 3
Date l.C.l. -------/�--'--�-................ 19. ..5 Permit No v------d --------------
The undersigned flerebayF,m Kmyeppli�fleo9fo fhJ E,Iectrical Inspector of the City of San Jose
fore permit to install eleatrl frAurer aid1<orid fing�ars/I'`s�9��fhe reverse side.
Exemption from er quiremitfor State of California for C�oYntractor's License.,is hereby claimed
I by undersigned: as owner ❑ statement filed
s 'Undersigned attests that his State of California Contractor's License
is in full force and effect and properlya ho iz his�a`�pli1 a}i n
s San Jose City Business License # A
I certify that in the performance of the work for which'this permit is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER `� 1 l=V QuR TO ly
ADDRESS
USE OF BUILDING S�//N �
FIRmA�(m ( 0 (, 0 4(.5 SIGNED i
280-10 (9-73)
67
ITEMIZE THE FOLLOWING New• Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch
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
eters HP _ /�Z_ Phase Ampere Loads d Lighting Power
Miscellaneous 1r�l
Rough Inspection D c/ By
Final Inspection� _ 8' T- ,7
By I�
Remarks:
755 -��`.�/ �� �-
/s�wx r eN