59334 7644 West Hill Lane Building Permi} Confirmed.❑
Not Required
CITY OF SAN JOSE -7S' BUILDING DEPArRTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date--------- �
�. ---- 19._5.. Permit No. �-- -'-- ---------
--------------..-..---------......- -
�
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fix re r i ' Ye o reverse side.
Exemption from requirement o o f r reor
s License is hereby claimed
by undersigned: as own r ❑ statement filed ❑ 31 ZS ��r!
Undersigned attests that his State of California}6gn ior's
r is in full force and effect and properly autho sox
San Jose City Business License $k
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
ADDRESS <///
USE OF BUILDING � f"
FIRM rC%G /2 �LC. (SIGNED sir �V ti %yS
280-201 N
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit ��
Switches Switchboards Size Service Wires �-
Receptacles Panelboards Size Service Switc �p� X00
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 /E'�7 >' 24?�
c
Rough Inspection
Final InspjfjV J--q— By
Remarks:
�re vl o r� 0(/0 u e cur e^ 280-20,N