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59348 1146 berbps�ire Building Permit Confirmed KNot Required . CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.... C),_Y------------------------------ 19 7... Permit No. .j 3 y(1.......------------------ The .... ....The undersigned hereby makes a lication to the Electri pecfor of the City of San Jose fora permit to install r ri I a d in i the reverse side. Exemption from req i fo ' .ntracfor's License is hereby claimed by undersigned: owner ❑ statement ailed © / n -3 Undersigned attests that his Stat of California Contractor's License # ( O �J 7 is in full force and effect and proper a rEfy9s.f Ipp irJ•„/"7 San Jose,City Business License fy (��,j/v�/� I certify that in the performance of fr. ork for which this per is issued I shall not employ any person in any man so as to viol fe fh workmen's c mpensafion laws of California. OWNER ADDRESS " USE OF)BILDING i FIRMc � G 2C SIGN` 2 0-201 1146 Derbygiiire. Pacific ITEMIZE THE FOLLOWING New Old Outlets Panels, Cabinets Size Service Conduit Switches _ Switchboards Size Service Wires Receptacles Panelboards Size Service Switch '90 Fixtures _� Festoon Lam s P Size Sub Feed Conduit Mercury,Lamps Dryers KW Sire Sub Feed Wires Ranges KW Heaters KW Number of Circuits _ Signs Transformers Motors Number yy�� nOf��Meters HP Phase—Ampere Loads "0 Li hti Miscellaneous g 9 Power Rough Inspection By n Final Inspection By r� Remarks: i 280-201n