1104 (2) 918 Cottonwood I
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE . BUILDING DEPARTMENT_
r
APPLICATION FOR ELECTRICAL.PERMIT
Date-- ._. v - ------------ 19�/r/- Permit No.-------------------/f 0�--.--------
The undersigned hereby mak I' a i } n El ie ec r of the Cify of San Jose
fore permit to ins}all elecfri:a fi r a o s } th reverse side.
Exemption from requireme top alifornia fo Confr is License is hereby claimed
by undersigned: as.o nor statement filed.❑.
Undersigned attests that his State of alifoonia'Con} axtis License #—
is in full force and effect and properly a es I a fi
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner seas to violate the/workmen's compensation laws of California.
OWNER
ADDRESS /J �n U/n�°� ✓r
USE OF BUILDING`__ d(^ C �
FIRM fe / SIGNED
zeo-io G
9,18 Cottonwood Powell
TEMIZE THE FOLLOWING . New Old
Outlets _ � Panels, Cabinets Size Service Conduit
-��
witches .3 Switchboards Size Service Wires
?*Receptacles �// Panelboards Size Service Switch .10DAa
ri Fixtures �_ Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
o \
Ranges KW Heaters KW Number of Circuits
Signs- Transformers ,Motors Number of Meters
HP Phase Ampere Loads Lighting - Power 3
Miscellaneous
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Rough InspectionDy
Final Inspection (, -2- 7n-1- 6y o
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Remarks: 2by` 7D m 1 N nAl� o .w/ n
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