55146 7624 ELDERWOODC' CT. POOL Building Permit'Confirmed ❑�
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR 7 -ELECTRICAL PERMIT
ti,Da#e. `{... -/--------------------- 197./.. Permi# No. ------ ----......------..........
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install elect a uu s wi s>1' the reverse side.
Exemption from requif4 at f i o nia� cior's License is hereby claimed
by undersigned: owner 56- statement filed ❑
Undersigned attests that his State of Califo e�Conirac}or's License #'
is in full force and effect and properly authori a -..2p,
San Jose City Business License # !//��
I certify that in the performance of the work for which this par it
is issued I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS It-
O
i M
USE OF BUILDING Q
FIRM SIGNED
/ zeo=zosn
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 Cond1. uit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors I Number of Meters--
HP
eters _HP Phase Ampere Loads _Lighting power
Miscellaneous a(nm� � �� r7
Rough Inspection By
Final Inspection 16 — ->
Remarks: Sj- 17-71 6( , (q.�w d ��
280-201 N