98995 (2) 6728 Clifford 'Drive Building Permit Confirmed (B
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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Da#e..............._.... ...�!-/i���--/�/-----. 19....�(. Permi# No.---.... -....-----
The undersigned hYre by akes a pliceti to EI ctrirpl Ins of the City of San Jose
for a permit to install ele ri I is s i g t o re verse side.
s Exemption from req it a e al fy o r 1 s License is hereby claimed
r by undersigned: s owner - statement filed ❑
Undersigned attests
that
hi State
of Californi Contractor's Lice{%n�/s/oA/�//'
is in full force and effect and properly authorizes japjA¢ationl/�I `
San Jose City Business License # / /;L.
(,certify that in the performance of the work for -ITTch This permit is issued 1 shat no} employ
any .person in any manner so as to violate the workmen's
/compensation laws of California.
:• OWNER
ADDRESS fes/ tiC / 1L�i
USE OF BUILDING
FIRM SIGNED
280-10
6728 Clifford Drive M. Henry
"1
ITEMIZE T E�EyFO,{LLOWINO' " ' New Old
Outlets Panels, Cabinets Size Service Conduit
Switches J Switchboards Size Service,Wires 3 /'
Receptacles =! Panelboards Size Service Switch
Fixtures 10—Y Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Si-e 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 By
Remarks:f�-/y��j