45246 1177 Crestline Dr. Pool /
_ Building Permit Confirmed (j�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENL
APPLICATION FOR ELECTRICAL PERMIT
Date-------------------Z� -----YJ............ 19-X Pernni4 No..._ a� --------------
The undersigned hereby as appli io f ha cel Ins or of the City of San Jose
fore permit to install ale mal xt r a rin es is } re0 side.
Exemption from requi n is o Mrac or's License is hereby claimed
by undersigned: as weer ❑ statement filed ❑
Undersigned attests that his State of California Crinfractor's License #eT '• 3�G8
is in full force and effect and proper authori s this a!&;;'o
San Jose City Business Lieanso -
-� I certify that in the performan off a."work for vhmh this parmi ' i%pdQlJ shall not employ
1� any person in any manner so as to vi late the workmen's compensation laafs of California.
I OWNER
ADDRESS 7 ( / PST
USE OF,,11BUILDING
FIRM-/ 1 /�ovlS SIGNED%�—
2 0-201n q
ITEMIZE THE FOLLOWING 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
Rough Inspection By
,Final Inspection
Remarks: 7-13 y �J
lora
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