85984 (2) 7583 LBckford
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT -
Date------------ -------------------- 19G*' Permit No.U---✓_Q.-:/ ........................-"-..........
The undersigned herebyby ak4ion to + EI nspe f the City of Sen Jose
fora permit to ins+all ale c i r g li o arse side.
Exemption from raqui e e alt rn a for Contrac ors License is hereby claimed
by undersigned: a owner ❑ statemen+ filed
Undersigned attests that his State of Cali{{f..ornia Contractor's License #'
is in full force and effect and properly auiho 3gs if pp --lion �
San Jose Cit Business License l�fiG
Y # /
I certify that in the performance of the work w ich this ermit is issued I shall not employ
any person in any manner so as to violate t e workme 's compensation laws of California.
OWNER
ADDRESS s
USE OFBUILDI
FIRM SIGNED
FOR.
o75e
83 Lockford
Dodd
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit U
Switches L Switchboards Size Service Wires 2—
Receptacles �y7 Panelboards Size Service Switch 14!0
Fixtures Festoon Lamps ' Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits 7—
Signs
Signs Transformers Motors Number of Meters
HP Phase - Ampere Loads Lighting Power
Miscellaneous
Rough Inspection 7 / By
Final Inspection / By -
Remark6:7 v1/10 gaC (j(Cy
G/r-C