18275 (2) 6693 Clifford Lane
Building Permit Confirmed (kr/
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date---- ..2-5 ........... 19.7 2 Pernni# No.... 6 /�
The unda"i ned her "el o fhe le rival or ofthCify of San Josafor a permit to install e it iereverse side.
Evampfion from it w rn' r on or's License is hereby claimed
by undersigned: statementfiledUndersigned attests Thalifor 'a Confrador's License # �/ v a 6
is in full force and effect and properly authorize is icafio
San Jose City Business License #
1 certify that in the performance of the work for which ON permit is issued I shall not employ
any person in any manner so as to violate the w rkmen's compensation laws of California.
OWNER / f
ADDRESS C1, 9 C � / l i /J.N)
USE OF BUILDING / ` P S . // i
FIRM v C SIGNED e2��
2BO-10
r
y
ITEMIZE THE FOLLOWING New Old
Outlets ._ Panels, Cabinets Size Service Conduit I�/Jl
Switches Switchboards Size Service Wires r y
Receptacles Panelboards Size Service Switch SOL
Fixtures _—f 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
Rough Inspection By
Final Inspection G �L By MRemarks: �� � y � ` d