59168 91.5 TANTAU,4V. (ANTHONY) POOL /9
10-a� - ����5a� Building Permit Confirmed 2-
N OT /a"0/�/N�� Not Required ❑
CITY OF 5'AN JOSE BUILDING DE�F#R��
APPLICATION FOR ELECTRICAL PERMIT �'-
( f,.ix7o f
Date--------------------l�Z-&-------------- 19-x-8. Permit No------= d.,-C ...-PEFv�
The undersigned hereby makes application to the Electrical Inspector of the City of Sen Jose
fore permit to install electrical f r as /d reverse side.
T Exemption from requirement r o Ior ' o oC df"reM6r's License is hereby claimed
.0 by undersigned: as ow r ❑ statement filed ❑
Undersigned attests that his State of California CQQQQnfactor's License # 190 i 2 a
is in full force and effect and properly authorises this/dp 'a+lion.
San Jose City Business License #
1. I certify that in the performance of the work for which this permit is issued I all not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER -C-4 I FPO,eI�
ADDRESS 9!� TA A/ T/ lJ IRI/
`d USE OF BUILDING S/ IGLE Fal M /L Y
FIRM A-Amixf 4/4' pa-p!_S SIGNED I 2 0 Oln
ITEMIZE THE FOLLOWINGNew Old
Outle+s Panels, Cabinets Size Service Conduit
Switches Z Switchboards _Size Service Wires
Receptacles Panelboards Size Service Switch 1QQ
Fixtures 2 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Transformers Motors I Number of Meters _
HP 2 PhaseAm ere Loads
P a2—Lighting POW."
Miscellaneous 19 VWj pt
Rough InspectionI`/`(
By
Final Inspection _/B
Remarks: ' (� Sr/N/CL.��I�'��SE//Y-y
�t ���Lvvv7 280-201n