36542 866 LILY AVENUE'
Building Permit Confirmed ❑
-' Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�---- 7 3 ss-2
Date---
_.. - .. 19 �Permrt No. _...... - — - --------------
T6` a .undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures and/or wiring as listed on the reverse side.
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests that his State of California Contractor's License
is in full force and effect and properly authorixes.this application.
San Jose City Business License #r
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compennsa .on laws of California.
OWNER Z Eon
ADDRESS
USE OF BUILDING --'114b G E F6t0�s`2��-
FIRM 5 EG ` SIGNE -
280-10 (9-73) . _ _ -,_
866 LILY AVENUE H,01
ITEMIZE THE FOLLOWING New Old .
Outlets a Panels, Cabinets Size Service Conduit
Switches 'z/ Swifchboards Size Service Wires
Receptacles _�__Panelboards Size Service Switch - - DD.9is�!
Fizfures _a Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers -KW Sire Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Transformers Motors - - Number of Meters
HP Phase Ampere Loads 8S Lighting Power
Miscellaneous -
Rough Inspection h Zf - By
y
Final Inspection `�— 77 By
Remarks:(C. PA--,�—'?7 �.ai� ,/. L
"l 0 - C I t-