68231 66"64 Ciifforj] Ct . _
TC. x ' tiBuilding Permit Confirmed
t.�:
Not Required ❑ ' '
CITY OF SAWJOSk'. +� � � BUILDING DEPARTMENT
APPLICATION FO; ELECTRICAL PERMIT
u
Date ------ - — --------------- --------- 1977% Permit Na......5;�- - -,........---------
The undersigned her W-fCfalritornl.r
Mc is I pecfor of the City of San Jose
for a, permit to ins}all ac cs is o the reverse side.
Exemption froin re re enmior ac}or's License is hereby claimed
by undersigned: statement filed ❑
Undersigned a}tes#s #ha{ h ,frac# is License
is in full force and effect andproperixes
u o
San Jose City Business License
I certify that in the performance of #se work for which this permi} is issued I shall not employ
any person in any manners as to violate the workmen's compensation laws off California.
OWNER
ADDRESS
USE OF BUILDING .:5�`
FIRM o�SS- �d'� 0. SIGNED �•
6664 ��igpxd Ct. Q
ITEMIZE THE FOLLOWING New Old
Outlets-- 16r Panels, Cabinets Size Service Conduit t _
Switches ---a $wi+chboards - Size Service Wires _ ✓ w
Receptacles { Panelboards Size Service Switch _/��
Fi -ury /W j�Fesfoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Sire Sub Feed Wires
Range's � KW Heaters KW Number of Circuits _
Signs Transformers Motors _42—Number of Meters _
HP a- F& Phase Ampere,Loads 9S Lighting Power
Miscellaneous
Rough Inspection q719 By
Final Inspection B -
Remarks: Z-/5-99 S-Q✓✓. �.o�,f� /_� y
3 "6^.7 SE�Nrp�i
I
280-201 N