38292 (2) • 7471 'STANFORD PL.
Building Permit Confirmed [1,
Not RequiredXL
CITY OF SAN JOSE 7S BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
A7
Date ----
?----------- 197.7. Permit No--W-�2xF
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fixfu / q a ist /t e r side.
Exemption from reguiremen! f o en is hereby claimed
by undersigned: a owner statement filed
Undersigned attests that his State of Cali ornia Contractor's Licensy�'
is in full force and effect and properly authorizes this application(/� r
San Jose City Business License fir` J�/ .—
I certify that in the performance of the work for which this p6mit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS ��/� SrtavLi�oi`�P � C
USE OF BUILDING'
FIRM &-(-r SIGNED
• 280-10 (9-73)
'7471 STANFORD PL. HO 9
ITEMIZE THE FOLLOWING ,-_ r�' NOid
Outlets Panels, Cabinets ' Size Service Conduit
Switches Switchboards Size Service Wires rZ�l
Receptacles Panelboards Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Sire Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Transformers ' 'Motors Number of Meters
HP Phase - Ampere Loads Lighting Power
Miscellaneous /�i �� �� dnn 24(2
Rough Inspection By
Final Inspection C " 2 '%,'� By
Remarks: Cl'eg'19 �4'- -`.s.•v-cy, �� �/�CJ row " •�Cn-��«-' .�.
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