32907 (2) Z , / �i
Building Permit Confirmed ❑
`J
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT -
' u D7
Date VN----L7--------------------------- IR�4 Permif No.3 .9
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The undersigned hereby makes appli f eci ' I fns ecl a City of Sen Jose
for a permit to install cle c fi fur as sfe t' a e'"a'
Esemption from re ire a e of ifon r frac or icenso iz hereby claimed
by undersigned: as wnar ❑ statement filed ❑ �•�
Undersigned attests tha} his a}e of Calkrnie ntrado Licen e #-a&ZS(:r `I c—Zko
is in full force and effect and properly autho'i t a lic /� /�//'
San Jose City Business License # , �V �(
I certify that in the performance of the ork for which this permit is issued 1 shall not employ
any person in any manner so as to violate the workmen's compensation law, of California.
OWNER G�rLJ`�Y12�
ADDRESS l ( �� U
USE OF BUILDIN��r\\�-
FIRM r� ` � SIGNED V
280-10 (9-73) OV
6637 Clifford Dr.
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Salah 1QU
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
eters _HP I F-( ic, L,C Phase—Ampere Loads
—Lighting Power
Miscellaneous
Rough Inspection / I By
Final Inspection z –2 –7�1 B
Remarks: y