61258 (2) 843 KIM ST. ) pp TT�
(ANTHONY Buifd�ngOY rmd Cc nfirmed
Not Req fired 0
CITY OF SAN JOSE BUILDING DEPARTME T
-APPLICATION FOR pELECTRICAL /PERMIT Q�
�/ 197.R-. Permit No.---44?! � .r/ ... -- --
Date..v7...'. . ... - ...- ... .....
The undersigned her makes applica"Ostat.nnent
toipeclor of the City of San Jose
for a permit to install actr' a nn the reverse side.
Exemption from re rector's License ism/?by claimed
by undersigned: as owner filed 66d[�OtI'�
Undersigned attests that his State rl of lifornia Ca pli tot License Y��
is in full force and effect and properly auf a plic ti
San Jose City Business License #.
I certify that in the performance-of the work for which }his permit is issued 1 shall not employ
any person in any manner so as to .iolafe the workmen's compensation laws of California.
OWNER
ADDRESS y3 K IAM ST
USE OF BUILDING S " &rC it M
"gy `lY
FIRM AA/T Ak#AMy /p0*Ld SIGNED 20-201n
ITEMIZE THE FOLLOWING -qS fir (v "l_—L/ 31 New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch _
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 C N leh A60 L flOND/N
Rough Inspection B /
Final Inspection n` �j 8y
Remarks:S-/7-7Q.� e.JeOsc� f " Bk ��--
® UJ 280-201n