61832 843 Kim Street POOL COUGER Building Permit Confir.-9
Not Required ❑
CITY OF SAN JOSE G_ 9_78 BUILDING DEPARTMENT
//-AP�^�PLLIICATION FOR pELECTRICAL//P/ERC/MIT �zJS��` fK
Date m-at/------04.�.-___ -------------- 19--)l Permit NO..J;-/ . -,J 0----..........
----
The undersigned hereby ekes application to the Electri nspector of the City of San Jose
for a permit to install el ric I' on the reverse side.
Exemption from req a of i( w or onfrector's License is hereby claimed
by undersigned: as owner 0 statement filed ❑
Undersigned attests that his Slefa of lifornia Contractor's' License
is in full force a� effect and properly a his ap oirA
San Jose Cit BusinessLicense #—�
I certify that in the performance of the work for which this permit is issued I shell not em ley
any person ie- ay »"' A. kreen.—r_- I f C I'i ia�
OWNER rn (j Vkl Z.S F( S V,
ADDRESS y 3 k f M 5 t(
USE OF BUILDING t)�S �c / t)"n
FIRM C.O UQ, aA Lie C- SIGNED
2' 0-201n
� 9
ITEMIZE THE FOLLOWING rS' �.A�--6/is-0/ New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires.
Receptacles Panelboards Size Service Switch 5 0 901 ✓d
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Transformers otors a7—Number of Meters
HP ase !_Y—Ampere Loads /�
3 Lighting Power -
Miscellaneous . S4„�,,.�M rc roe 4 S512Vlc%c � ��„
Rough Inspection / 9
Final Inspection
Remarks: (a– By
280-201n