62386 (2) 1322��FLOWER CT. ,, APACHE POOL
Lo at NW 'I Building Permit Confirmed/
/
1 I I Not Required ❑
CITY OF SANT JOSE BUILDING DEPARTMENT
r APPLICATION FOR
ELECTRICAL PERMIT ,yam//-
Dafe-------..Y-'_I- -. - �Y91BAn++n"rv -- ---- -."-" -------------
The undersigned hereby me applicafion to the Electrical Inspector of the City of San Jose
for a permit to install elecfr�'cc I fizfures and/ r wiring s i e reverse side.
Exemption from requirerpe", zYor;Stafo/I� c}or's License is hereby claimed
by undersigned: /✓// (as/owner statement filedv
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
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 so as to violate the workmen's compensation laws of California.
OWNER W�M Ci C)A
ADDRESS AL2 [Ups-
USE OF BUILDING a'k- S (3'At
FIRM a SIGNED S\
72$"f� (3l uc' 'n✓_ 9. ' 2 0-201n �J
'0r"-
ITEMIZE
r.ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires _�
Receptacles Panelboards Size Service Switch
Fixtures 1 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs qq Transformers Motors Number of Meters
HP d/ * Phase Ampere Loads 9-7—Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection g
Remarks: -/t'8 pa— � y/-rte Y
ror �v Ny bio t F-2,-11- /A%GL-9— 280-201n