61032 (2) 905 ROSE BLOSSOM
rW+f 5f r!( v Building uiermit Confirmed O
I� lil3�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRfEA-L PERMIT
6/o1'oz
Dat e..[�'��U{�,l'L.I -..ez`(,'------------------- 19� _. Permit No._... - - " - - ...
L' The undersigned here kas a 'ce5 f the EleS}rival Ins c}or of the City of San Jose
fore permit to install a c} ' al ix s a ir• I' ed a reverse side.
Exemption from regi uem n a rni f r for's License is hereby claimed
by undersigned: owner I� statement filed ❑
Undersigned attes}s that his State of Calif nia Con}rector's License
is in full force and effect and properly aOhor a ri is appl is o
San Jose City Business License #
a I certify that in the performance of the work or which this permit is issued 1 shall not employ
nI s any person �nP'rs¢9cr>ri...-—Mats^ka t 4.r
OWNER D r (lam ��LGTCJY� L.
ADDRESS X05 �� Q�osso�` D ✓
USE OF BUILDING 1C
FIRM ?3y-OS(I war SIGNED �r - 2g0-201n
905 ROSE BLOSSOM DR. HO v/
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches _Switchboards Size Service Wires
Receptacles_� Panelboards Size Service Switch _I OD
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
Mi ere Loads op '' '
P Lighting Power s•
Miscellaneous Phase Am
Rough Inspection //_ �_',�' 7By p�
Final Inspection _ y� / /= c�7 V 7
Remarks:7-5-)g �u. ,� C�C� . /N 0 I 12
—78 sE/N ota�u� 11-7-90 @Ae (� 4e
280-201n