68675 7819 Lilac Ct. �� l Building Permit Confirmed
Not Required ✓❑ l.•f/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICALS PERMIT c ,
Date.... .I---------------------------- 19--7f- Permit ------------------ -
The undersigned h 6y makes a lice 'o o!Electric nzpactor of the City of San Jose
fora permit.}o inst c c a / w' n a e on the reverse side.
I Exemption from q ate oa�rni f on}rac}or's License is hereby claimed
} by undersigned: as owner ❑ statement filed ❑ 5 /
Undersigned attests that his State of California ort }ors L- nse
_ is in full force and effect and properly avrho �s is �catioyf�
San Jose City Business License # / r/
1 I certify that in the performance of the work for which this permit is issued I shall not employ
f any person in any manner so as to violate the workmen's compensation laws of California.
gan^
OWNER JCL /A Q'� urJ� IurcP
f ADDRESS ISS /q e- �. Iparno
USE OF.BUILDING -FA + ® w �/lrr` 4
f�
, FIRM AFGoyo/uy SvLrernc SIGNED
r 280-201N
7819 Lilac Gt• - rafco
ITEMIZE THE- FOLLOWING New Old
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 Phase Ampere Loads Lighting Power'
Miscellaneous
h
Rough Ins'pe tion By
Final Inspectionn
Zoy'
Remarks:
is
280-2a1N