33404 (2) 949 Rose Blossom Dr.
Building Permit Confirmed ❑
Not Required b
CITY OF SAN JOSE —� 7S BUILDING DEPARTMENT
/
APPLICATION FOR ELECTRICAL PERMIT
Date.! / ............................. 19.71W Permit No.... -J..-7-- - .-'------'......
The undersigned hereby makes application to: the Electrical'Inspector of the City of San Jose
for a permit to install el ri 'x �y¢Yy/�s�fj in s sf o e averse side.
Exemption from req ,if{ is o r is License is hereby claimed
by undersigned: s ow nor ❑ sfafement filed ❑ (7
Undersigned attests that his State of California Contractor's Licansa # 9�a
is in full force and effect and properly authorizes
y� San Jose City Business License $k
I certify that in theperformance of the work for which this permit is issued I shell not employ
M any person in any manner so as to violate the workmen's
compensation la sof California.
OWNER
ADDRESS
USE OF BUILDING
FIRM4&/—/' �/ rL`U t SIGNED
280-10
Q4a Rose Blossom Dr. Harvick
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabine+sSize Service Conduit 1
Switches Switchboards Size Service Wires 9X L �b
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 —.2
Signs Transformers._ Motors Number of Meters .
HP Phase Ampere Loads R-5—LLighting Power
Miscellaneous ��61�4-C-� � `� �� e+.l/ _ 'r �CrL�_/,fi•-�,
Rough Inspection pp By
Final Inspection 75�
By
Remarks;
R'fxneuxy o.. ovu.uW'�.^^�"� �'""t� C KL I•.2-7S r��;:w..��C` ,��i .