46330 (2) 6398 Blackwood Dr.
Building Permit Confirmed
Not Required
;CITY OF SAN JOSE BUILDING DEPARTMENT .
APPLICATION FOR ELECTR AL PERMIITT/ z z
Date..............--7 ..�-...... 1,,X. Permi# No..................Z/60-3✓-i- ----
------------------- 1
The undersign h b s p' n get tri specter of the City of Sen Joss
fore permit to 4al d/ wi on the reverse side.
\' Exemption fro require en} for ate of 61 le
for Contractor's License is hereby claimed
by undersigned: es owner statement filed ❑
Undersigned attests th t his State of a'for 'a o ra Lie so #'
is in full force and affe<�/ r pert iz s tion
San Jose Cify BusinFs .aFfe�n�j�e
I certify that in 1h perfJrrfiance of the work for which f ' permit is issued I shall not employ
V any person in any manner so as to violate the workmen's compensation laws of California.
J OWNER
ADDRESS
USE OF BUILDVG
FIRM Ac -7' x-76 SIGNED SQ:)
2 0-201n�
6398 Blackwood Dr. f _ . �, H.O.
goo
1,4 ITEMIZE THE FOLLOWING New Old
Outlets a Panels, Cabinets • Size Service Conduit _
Switches Switchboards Size Service Wires ,
Receptacles Panelboards Size Service Switch
Fixtures -�-
p 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 Phase Ampere Loads• Lighting Power
Miscellaneous car !
Rough Inspection :D_ L\/1-- y E> By w`
Final Inspection _-/- 7 7 B
Remarks: e—l0 1(,Q-'YN-mom �p,fi tZ tt� Q o vac°Y �p
M . off.udwaL �Q —eau , _ 28 -201n V