60552 (2) 7630 Waterford Building Permit Confiirme�
P"'t n.,, cc) ' ,el e Not Required ❑
CITY OFAN JbSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/..L..------- -'---------------- 197.9 Permit No.-------------
The undersigned hereby makes application to the Electrical Inspec+or of the City of San Jose
for a permit to install electrical fixtures and/or wiring as listed on the reverse side.
Exemption from require on i J lif aop. A�/ Co figetor's License is hereby claimed
by undersigned: //(j,�, , amen+ filed ❑
Undersigned attests that js to of California Contractor's License #
is in full force and effect and properly authorizes this 1'mation_;.v_„
San Jose City Business License #
I certify that in the performance of the work for which +his permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER (7 1/o rJ '' T L1
ADDRESS 76 3C� l/J�i4 TE/erDR D �ip S J 9 s/a
USE OF BUILDING
S
S10 4�_ P/+��.� 9 S SIGNED., .�s��/�/D.�IZ
FIRM 2 0-201nQ
1
7630. Wa tQr�ord
ITEMIZE THE FOLLOWING New Old
Outlets .S Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles AJ-1-_ Panelboards Size Service Switch ,I Do
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-�7R_Lighting Power
Miscellaneous
Rough Inspection _ •8-�4 VBy77 Final Inspection g- /�f�Remarks:
280-201n