86122 7561 Prospect
Building Permit Confirmed (�
Not Required ❑
CITY OF SAN JOSE /O , / — (Q BUILDING DEPART
APPLICATION FOR ELECTRICAL PERMIT
Dafe--------------- .- _.^�- ---------------- 19- 7Pernni+ No.---- ------------------------------------------�/
The undersigned hereby,makes applica+ion.to,A ;lecffical Inspector of the City of San Jose
for a permit to install elacfrieal'f*, lures end/Z' irin a[listed on the reverse side.
L...,x�.�- tom- �. gv
Exemption from requmamenf (or�5te+e of California for Contrac+or's License is hereby claimed
by undersigned: as owner ❑ statement filed El
Undersigned a+fests that his State of Celifornia.Contractor'' License #' 3 7
is in full force and affect and properly authoiixe`s05#61; appli afion,/ ,�
San Jose City Business License #
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 compensation laws of California.
OWNER ISI u. N -qV-- R w4 A �_e ger?_
ADDRESS �42-o S P ct
USE OF BUILDING 5/(--
�CLIFERTIND ELECTRIC 1Nf$IGNED
rORM i o aratoga- unnyvale Rd.
7561 Progptipe, California Cupertino
ITEMIZE THE FOLLOWING New Old
utlets Panels, Cabinets Size Service Conduit
witches 3J Switchboards Size Service Wires
Receptacles -3 Panelboards Size Service Switch
35%Fixtures '2 , _Festoon Lamps Size Sub Feed Conduit
o�
I Mercury Lamps Dryers KW Size Sub Feed Wires
)0'0 Ranges —/ KW/j- )—Heaters - KW Number of Circuits
Signs �rnsformers Motors Number of Meters
,rig
HP —I 4L Phase_/ Ampere Loads - Lighting Power
^p'Miscellaneous c_
W3<ugh Inspection a! ( 7
By -1-15
Final Inspection j B
Remarks: ��m�---• ,D�+^^'"'�- /k-a-•-dr, Oht- ( C'�-.YI,G•. /� '!7�/Z_
�"(� Ltl/p CC�•/C.a-Ctu�cs+L/_ ('2> �Pi�.v-cc,t� c7...�C.,./jLr�i - �i7JS