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70592 7802 Robindell Wy.
Building Permit Confirmed.®f—
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
DO e----------------------- .:C. G.Q--------- 1971- Permit No..... .............
The undersigned her y akes appl' ation to the Elpc}rical spec}or of the City of San Jose
fora permit to insiell le� r w o f too reverse side.
r1 E,Per.mptit from e r o r of f f niractor's Licansa is hereby claimed
by undersigned: as owner ❑ statement filed © /
•Z• Undersigned attests that his State of Celifor9s'y Contractors Licens #
F. is in full force and effect and properly author. yR�pplicatio �� 6
San Jose City Business License # / C—
I certify that in the performance of the work for which this permit is issue 1 shall not employ
any person in any mnnor so as to violate the workmen's compensation laws of California.
OWNER /F4feP,4jfe4 ppdI
ADDRESS
USE OF BUILDING J - 4l"
FIRM���n ��s'7SIGNED
(51 2 0-201n gy
3802 -qy. Potter
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards _ Size Service Wires —
Receptacles .� Panelboards Size Service Switch
d0
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 Phase Ampere Loads .SO Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection C '
Remarks: 9 se/k K"%
280-201n