33632 (2) 7583 Erin Way
Building Permit Confirmed fa/
No# Required ❑
CITY OF SAN JOSE, BUILDING DEPARTMENT
APPLICATION FOR ELECTRICACrPERMIT 2,<
Date--------------- - ---------------- 19..? Permit No. 3-3...0?. `�------------
The undersigned hereb makes a lice}ion o the E rical Inspector of the City of San Jose
for a permit 4o install a ctr' t ds //�_/}j) s//{fisted on the reverse side.
Exemption from req fo a! f>a f/Ca iforni r Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned affes+s that his StateSrof lifornia 4ls or'y�Yicen e
is in full force and effect and properly horises +�./�r Jr66r✓
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
xi a the workmen's compensation laws of California.
OWNER CQ t r
� `_
ADDRESS
USE OF BUILDING
FIRM SIGNED f
280-10 O �y
7583 Erin Way HO
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New Old
IT MIZE THE FOLLOWING
Outlets Panels, Cabinets Size Service Conduit
vSwitches + Switchboards Size Service Wires
Receptacles D Panelboardt Size Service Switch ���
l 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 Lighting 174l
Power Q
Miscellaneous I
Rough Inspection ;2!: — ,
By
r\ Final Inspection LI -17- ,75 B
Remarks: l ,7sO y
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