42815 77O8 OROGRANDE PL.
BuildingPermit ConfirmedNot 0
ed
CITY OF SAN JOSE BUILDING DEPARTMENT —
APPLICATION
EPART,MENT —
APPLICATION FOR ELECTRICAL PERMIT /�¢Zn—
Date..T't ! --------------------------- 19-------. Permit No.---'-- v
The undersigned heere' b{7yyyyr��r�a�e}'syepp��t' n�ta�$ha El }ric�a�f�nspec}or of the City of San Jose
{ora perm if }o install i %/CV�[y f4�a ;�s3iri g�C li �d'� the reverse side. .
Exemption from requiremenfJfor Sia of C�i orn(a for Conirector's License is hereby claimed
by undersigned: ii as owner ❑ statement filed ❑.
Undersigned attests that his State of CalifCCoonp�actor's License #' 1 3
is in full force and effect and properly euthoriz�s f ft'—app
li t'o
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER RICHARD t3ftESS [ M. I
/Odr VrogrAndel
7l
ADDRESS
USE OF BUILDING PCYT POU r ^y'��I (5aM 1
FIRMH4V✓�1JA/✓�a�IGNED
�rt
280-10 (9-73)
ITEMIZE THE FOLLOWING •a New Old
Outlets Panels, Cabinets Size Service Conduit .
Switches Switchboards - Size Service Wires
Receptacles Panelboards Size Service Switch _
Fixtures Fesfoon Lamps Size Sub Feed Conduif
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 S W ; r ;� xo ��
Rough Inspection / By
Final Inspection � 7� B
Remarks: q 2
�ovl.Yi a.cy '� U'l �Gv �i/.i.6Lp'"� �•�'� �Y``C� OZ�._ �aaL�— .
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