17874 U 6370 Cottonwood Cit. Building Permit Confirmed 2—`
.Not Required 1:1
CITY OF SAN JOSE ^8^�3 & LDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date..
Da}ThP andersi ned re�makes a plicafi� tbeeElmi' Noo^PtL.. o /...
.gnto a City of San Jose
fora permit }o m 1 n d r side.
Exemption fro C or for Contrac}ors License is hereby claimed
by undersigned: as owner ❑ , , statement filed LLCC '/
Undersigned attests that his Sta}d�spf ' ornia Contractor1 ie se 11 //p4
is in full force and effect and,prope�rJ hyri:es P ° ' - 2 y3^06/"
San Jose City Business License,' 7
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any ma r so as r}o vi
late the workmen's compensation laws.of California.
OWNER a2�L
ADDRESS
USE OF BUILDING
FIRM T�> �` �' ''� SIGNED G 3
280-10
6370 Cottonwood Ct. Covinkton Elec. 9
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches .J Switchboards - Size Service Wires Z y•
Receptacles Panelboards Size Service Switch 116-4. 1-OD d.
Fixtures Festoon Lamps Size Sub Feed Conduit'
Mercury Lamps Dryers KW Sire Sub Feed Wires
Ranges KW Heaters KW Number of Circuits 2 /y
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads _Lighting Power
Miscellaneous
Rough Inspection — pp py
Final Inspection — el? By
Remarks: �.
- ' of
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