28184 5987 Sutton Park Park � /
Building Permit Confirmed$
' Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION POR ELECTRICAL PERMIT per/
Date. . {�r'iY�------ A---PP.. 199(1 Permit No 111.-a..�.Q../ -----------
The undersigned herebymakes application to the Electrical Inspector of the City 'of San Jose
fora permit to install elect 'c f s or/rrmJ A. 9Af3t) on the reverse side.
Exemption from require r &a1'&oraia (8�F/Contractor's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑
Undersigned d attests that his pStateroperly
of Califo i �IIR plicto�L�qe)
is in full force end effect and properly aufhorix�ri}ShpplicQiCw!✓/
San Jose City Business License #
r— I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any Amanner so as to violate th workmen's compensation laws of California.
OWNER �^—
ADDRESS Alc L
USE OF BUILDING
FIRM SIGN -
280-10 (9-73)
c Ea Pool _ - —
- n
C
ITEMIZE THE FOLLOWING New -Old
Outlets _ Panels, Cabinets Size Service Conduit /y
Switches Switchboards - Size Service Wires
Receptacles Panelboards Size Service Switch'... _ 04
Fixtures —/ Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Sire Sub Feed Wires
Ranges KW Heaters KW / Number of Circuits _
Signs Transformers Motors __L_Number of Meters /
HP l2 Nase--/—Ampere Loads 9�Lighfing Power
Miscellaneous
Rough Inspection p By.
Final Inspection . ?-&!- 7 C/ By •.. '��
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