69993 7454 De La Farge w POOL /
Building Permit Confirmed
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CITY OF SAN JOSE --BUILDING DEPARTMENT
' APPLICATION FOR ELECTRICAL PERMIT r7i'g°
Date......Y.'.2-- ---------------- .7
............. 19 .1. Permit, No..?`. 1...1..? ------------::--------`
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures and/or wiring as listed on the reverse side.
Exemption from requirement for State of California for Contra s License is hereby claimed
by undersigned: s w r ni filed ❑
Undersigned attests that is rn o c r'z itense #
ii in full force and effect an roperly ufhori:es this a O'03 n
San Jose City Business License #
I certify that in the performance of the wor ich this iws i su ell employ
' any person in any manner so as to violafe the orkmen' compensation laws of California.
OWNER T C e L D AN Air
ADDRESS —2xlif y' n or.t.4.9lJtPG f QR
USE OF BUILDING S 16014
FIRM_?w r He AN l�D #AS SIGNED z.
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ITEMIZE THE FOLLOWING New Old
Outlets / Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards ' Size Service Switch f tf
Fixtures _ _Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Sire Sub Feed Wires _
Ranges KW Heaters KW 'Number of Circuits _
Signs Transformers Motors _2__Number of Meters
HP _ '+' rZ - Phase —1 Ampere Loads YA41 Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection / BY
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