24792 875 Lily Ave.
Building Permit Confirmed ❑
Not Required 'iffl--
CITY OF SAN JOSE BUILDING DEPARTMENT
/APPLICATION FOR ELECTRICAL PERMIT
Date...... L...^... ....---------.....------- 19.,L.`�/.. Permit No.-----
.�/�L...�---...----
The 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 O
by undersigned: as owner ❑ statemen} filed 11 14 7/
Undersigned attests that his State of California Contractor's Licenso #' �244o 1
is in full force and affect and properly autho'rixp�`J+},is a li* ti
San Jose City Business License e#y `��/ — 0- �2s
I certify {hat in the performance of the work for which this permit is issued I shall not employ
any person in any me so as t v�the work en's corypensafion lows of California.
OWNER
ADDRESS
USE OF UILDING
FIRS SIGNE —
zea-tot lo- I 736— /3 S
Rr7S T,i l v Ave. Ram Ll t
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires 2
ReceptaclesPanelboards Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters__ KW,?-S Number of Circuits _
Signs Transformers Motors Number ofMeters _
HP Phase Ampere Loads _?,!t!Lighting Power
Miscellaneous
Rough Inspection By.
Final Inspection /0—//-73 By q
Remarks: W/U E.oi,, p