62337 DR. LEE POOL
1111• DERB. RE
n Building Permit Confirmed
Not Required
,.� CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/
Date....." _f /---------- 19-X Permit No........... -W.3.--7......
The undersigned hereby makes appl'Aa }o f Fvle tri spec}or of the City of Sen Jose
fore permit
to install I it a v r rin I' d n the reverse side.
Exemption fro or o lifer 'Vie
onhac}he License d hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his State f California Cc�qfira_c#or's License #'
is in full force and effect and properl�f f as this/6
San Jose City Business License
I certify that in the performance of the work for which }his permif is issued I shall not employ
any person in'any manner so as to violate the workmen's compansafion laws of California.
OWNER
} ADDRESS
USE OF BUILDING
FIRM �l� '.S /D! o7EP SIGNED
/ _a 0- In
q
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires T
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 /--�f--L / Phase Ampere Loads/%3_ Lighting Power
Miscellaneous i 7-
Rough Inspection By _
Final Inspection _ 1-7_t?_ 9
Remarks:,'-f JB' S.G��/ Y
280-201n