93220 i Lil pooi
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Building Permi+ Confirmad J�I
Nof Raquired ❑
CITY OF SAN JOSE BUILDING DEPARTMEC�
APPLICATION FOR ELECTRICAL PERMIT--
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Da+e - -.C. —l.`P...-- --�- �9C4 Permi+ No. .:�- �� - -` - -
The undarsigned heraby makas application fo ihe Electrical Inspector of ihe Cify of Sen Josa
for a permi4 fo inslall eladrical fi�}uros end/or wiring as lisfed on fhe revarse side. •�
Evempiion from raquiremen} for Sfafe of Cali(ornia for Con4ractor's License ii hereby claimed
6y undersigned: as owner ❑ siafemen4 filed ❑ �� /�q
Undersigned af!esis fhai his S�ale of California Con}ractor's License �' �� �
is in full force and affaci and properly eu}horizas #his applicafion. !//_�/
$an Jose Ci}y Businass Licenso # F
I ceriify ihai in iha performanca of fhe work {or which +his parmii is issued I shall no} employ
any person in any mann¢r so as fo�viola+e fhe wor4men's compensafion laws of California.
OWNER -� � /f7o.�-�,fl�o �J
ADDRESS ff�
USE OF BUILDING_ � a C ` � �`�
FIRM � �L SIGNED
voarw 280-10 l6/601 IOm ' • �
873 Lily Anthony P�� q
ITEMIZE THE FOLLOWING New Old
' Ouflets Panels, Cabinets $ize $ervice Condui}
$witches Swi}chboards $ize Service Wires
Receptacles Penelboards $ize $ervice Switch
Fixtures Festoon Lamps $ize$ub Feed Conduif
Mercury Lamps � Dryers KW Si:e Sub Feed Wires
Rangez KW Heafers KW Number of Circuits
Signs Transformers Mofors Number of Meiers
HP _ Phase Ampere Loadz Ligh}ing Power I
- Miscellaneous �� � � �
� Rough Inspection - � �
Final Inspecfion �—'���G� g �� � ��
Remarks: � Y -
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