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19861
7415 Plumblossom Dr. CITY OF SAN JOSE z APPLICATION FOR r Building Permit Confirmed C^' No} Required ❑ BUILDING DEPARTMENT ELECTRICAL PERMIT Date --------- �29L_------- ....-- - 1972!. Permit No. _L .I -....-------------------- The u rsigned hereby makes application to the Electrical Inspector of the City of San Jose {ora per fo install electr' a ix r Kdh�r�`'vin�g/�selitieof p9he reverse side. Exemption from requir �; �o{�[;a1sFoFnia,.fo� ..tor's License is hereby claimed by undersigned: a owner"[? sfafement filed 1„ Undersigned dtfesfs that his State of Califorqia Contractor's License # Pr% is in full force and effect and properly authoJizesrYh{s,/naplic�iif} / — San Jose City Business , License # —;KA G (iM_(O �y"/��, Cf I certify that in the performance of the work for which chis per is issuedI shall not employ any person in any manner so as to violate the workmen's compensation laws of California. OWNER �A�,75 411) ADDRESS USE OF BUILDING FIRM /F%C�l/%2i' SIGNED FORM 200-f0 If0/671 10. 7415 Plum Blossom -66i McKernan Elect. ITEMIZE THE FOLLOWING �' �O New Old L Outlets Panels, Cabinets Size Service Conduit Switches Switchboards Size Service Wires 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 Signs Transformers Motors Number of Meters HP yy Phase � Ampere Loads Ligg�htii'ng Power Miscellaneous /'J/.,.G" %%4/lT.�ra�D�hgl///�" /�i/�� /.O(r✓�`^.� Rough Inspection�_�J' By— Final Inspection .—�O �7 By C Remarks: /- 3a-73 0� .2.1 c.J _..L7C�a.b. .tw7wva r�1•d 7. 731^[J ©7"14"c�DY w'4-.rPdd �a«.%%A- f o -�