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67815 (2) 6377 Cottonwood Building Permit Confirme� Not Required ❑ CITY. OF SAN JOSE �'j = � ._� 9 BUILDING DEPA4 . T APPLICATION FOR ELECTRICAL PERMIV���' o p ��7 - - Date -� [--------------- - - 19. .1 Permit No........._ -------------------- Th - ' The un arsigned hereby e- s pp' 'o o EI ita Ins r of the City of San Jose for a' perms} to•install ele ice fi ur r g s I'# o # reverse side. Exemption from requi a ifo { r r ors License i's hereby claimed by undersigned: as caner ❑ statement filed ❑ Undersigneda#lesis that his ata of California Contractor's License # is in full force and effect and pr if rly�yulhori:es his pl'! oi! ^r San Jose City Business Licen a �j 1 certify that in the perform ce iho wor o whmh this permi is issued„I shall not employ any person in any manner so to vio to the men's compensation laws of 'California. OWNER '7 ADDRESS t Cy USE OF BUILDIN FIRM 9q6- 1+11 SIGNED N ase-3aI'7 260-201N 6377 Cottonwood 4 HC ITEMIZE THE FOLLOWING New Old Ou+lets 7` Panels, Cabinets Size.Service Conduit Switches T ''f Switchboards Size Service Wires Receptacles Panelboards . Size Service Swi+ch�`_127d Fixtures 3 /_iCA Festoon Lamps Size Sub Feed Conduit Mercury Lamps/ Dryers - KW_ Size Sub Feed Wires _ Ranges KW Heaters KW Number of Circuits _1 Signs Transformers Motors Number of Meters HP Phase _Ampe Load���� gh+in f�pwer, Mix a Aneouz / l Rough Inspection _ �� ✓J� By Final Inspection ,-3 7�/' By Remarks:/-�2.2-7'j l e5�/' ) 280-201N