62270 I �
7922 McClellan —/
Building Permit Confirmed 0'
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTIVI TT
APPLICATION FOR EELECTR - ERMIT96�7/'7
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Dafel/t �_. CJ -----------------------
19-7(3. Perm - -((
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li The undersigned her kas p 'cation to the Electrical specTor of the City of San Jose
fore permit to install i s or in q li The reverse side. r
..9
Exemption from r name or a al' ie r rector's License is hereby claimed
t by undersigned: as owner ❑ statement filed
Undersigned attests that his State of California Contractor's License #
>> is in full force and effecturines and properly fhi P is
�T.
San Jose City Business License #
I certify that in the performance o the work for which this p.rmf is issued I shall not employ
any person in any manner so as.to violate The workmen's compensation laws of California.
OWNER 7�%SLS %//.( �
ADDRESS '7922
USE OF BU1ILDING1�
FIRM- r����r/ f ftSIGNED-- tel' 2 0-201n /
79_22 McClellan H&H
I
ITEMIZE THE FOLLOWING New Old
Outlets J 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 Z! KW Heaters KW Number of Circuits
Signs�// Transformers Motors Number
off Meters
HP �G? -i Phase Ampere LoadsLighting Power
Miscellaneous E _ / —
(oc/ ' /
Rough Inspection By
/,
Final Inspection 7—1— By Ar
Remarks: �'SE/n/ P,YAV
280-201n t