24519 1151 Stafford Dr.
Building Permit Confirme�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTYLUT
AP LIGATION FOR ELECTRICAL PERMIT
Date -/ .--/- 7� ----- --- --- 19----- --
.- Permit No.- 9..C.--�y-- -
------- ---.-..
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install eleariry l/�iz`turend�Gr�wrf'��e`s�listed on the reverse side.
� A v e
Exemption from requireme I or•Sta}e•of CeLfor2aorfor Contractor's License is hereby claimed
by undersigned: as owner ❑ 'statement filed ❑ ��l3
Undersigned affests that his State of Califojnia Contractor's License #
is in full force and effect and properly aufhorizo Nis apPliee iog��
San Jose City Business License # 6/ `% sV
I certify that in the performance of the work for which this permit iso'ssued I shall not employ
any person in any manner so as to late the work en's compensation laws o California.
.OWNER
ADDRESS ZZ-ts`7;�
USE OF BUILDING %X' —
Q / J
FIRIVI 1r/�LT XL
260-,0
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Ser7Conduit
uit �_ _Switches 2 SwitchboardsSize Sers ?Receptacles Panelboards Size Serh /�Fixtures Festoon LampsSize Sub duitMercury Lampz Dryers KW Size Sub sRanges KW Heaters KWNumber s _Signs Transformers Motors Number _
HP� Phase
—Ampere Loads r,y
Miscellaneous Q Lighting Power
Rough Inspection By
Final Inspection 42) J- ?
Remarks:�f-17_9 3 By (�Mp�