19379 (2) 7325 Fallen Leaf Zane
' / Building Permit Confirmed E
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTvAENT__
�j APPLICATI,N FOR ELECTRICAL PERMIT
Date----- `�C'------------------/--<----- . 197.z. Permit No------423.--9
23.--9
The undersigned her y make ap Ii }ion /he EI k.l Inspector of the City of San Jose
11
for a permit }o install e a nd r s isted on the reverse side.
Exemption from r i for to#e li rni or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑a
Undersigned a}tests fha#�s{{s �to of C rj �p�r�e s L c se '
is in full force and effect ajfd/ryr6pyrly autif Fklf(>bli '
San Jose City Business,�Cicen e fir`— �foG
1 certify that in the performance of #h�k for which this permit is issued I shall not employ
any person in any manner so astI.o violate the workmen's compensation laws of California.
OWNER Z /� C' /CD�'4 �// I /
ADDRESS 7,3;2S-
USE
,3.Z s//SAEAGLE
USE OF BUILDING
FIRM 1plfC1e&/Z1r/yn/ SIGNED �iaocltGf�
FORM 200-1e (10/6]) 10M q
17325 Fallen Leaf Ln. McKernan /
ITEMIZE THE FOLLOWING New Old
Outlets 33 Panels, Cabinets Size Service Conduit
Switches a¢ Switchboards Size Service Wires
ReceptaclesPanelboards Size Service Switch _.2-00
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 4=0,V,4C_6rt//7— phase-/—Ampere Loads Lighting Power
Miscellaneous 6-04 �2-�O
Rough Inspection
Final Inspection -' J By (A`
Remarks:j L C".t'j
b- S73Q1y� �i �, L� �w/o kd,jI �e�ta aka