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42645 ➢( G c(O -�� 1110 STEEPLECASE s Building Permit Confirms Not Required ❑ CITY OF SAN JOSE BUILDI DEPARTM-F,NT \/ APPLICATION FOR ELECTRICAL PERMIT ✓X --/Z `------ Date. `c.. .�J.t-----------------....._ 197 .. Permit No.-------...... . The undersigned hereby makes ap " afion f the EI 'ctric I Inspector of the City of San Jose for a permit'to install electrical fixtu s / n li a yJfh�j4boprse side. Exemption from requirement for ie o C a o cense is hereby claimed by undersigned: as owner statement filed .SI, 27 Undersigned attests that his State of California Contractor' License # is in full force and effect and properly aufk Lizes th i' liry f" n QJ /A / I/ San Jose City Business License # 'S //rT�l��/(/ Jz I certify that in the performance of fG work for which this permit is issued I shall noty employ any person in any manner so as fo violet hew kmon's compensation lows of California. OWNER Le -4- G ADDRESS USE OFUILDING FIRM c,'4/ � Cpm C SIGNED (.! 2BO-10 (9-73) 3 !` q -;L? 1110STEEPLECASE PACIFIC ITEMIZE THE FOLLOWING New Old Outlets Panels, Cabinets Size Service Conduit Switches Switchboards Size Service,WiresZ ReceptaclesPanelboards Size Service Switch Fixtures Festoon Lamps " Size Sub Feed Conduit Mercury Lamps Dryers KW Size Sub Feed Wires ,+ Ranges . KVr-,..1 7_ Heaters KW Number of Circuits !l Signs Transformers ,Motors Number of Meters _L HP Phase Ampere Loads Lighting X_I rPower Miscellaneous ; Rough Inspection — 7 By Final Inspection t _'�? (p Remarks•Y—/—_76V(010 B p , y QV©©L/CQ L[tcya^.. i 0 �O AstAtsriT pIQ�Q l .