55546 (2) 1092 Hilky Way POOL
r Building Permit Confirmed L�
xPODG xs Not Required '❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date--"C5P- ---/-7---................... 19."77 Permit No:-------.5�------
The undersigned her y ma�ownero
e Electrical Inspector of the City of San Jose
for a permit to install el r' as on the reverse side.
Exemption from re ui en n o ontrac#or's License is hereby claimed
by undersigned: statement filed ❑
Undersigned d effe that his pStateroperly of Calif iaan# d
� is in full force and effect and properly au}hor i ap ion. i
1 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
ADDRESS 2- 14/41-C / )
USE OF BUILDING
FIRM Gov or fy Ky SIGNED ��+� �'� f\ /�•
Ta0-201N
ITEMIZE THE FOLLOWING New Old
a Outlets 2 Panels, Cabinets Size Service Conduit
Switches SwitchboardsSize` Service Wires Z'
Receptacles Panelboards Size Service Switch �d
Fixtures Z Festoon Lamps Size SubFeedConduit
Mercury Lamps Dryers KW - Size Sub Feed Wires
Ranges KW Heateri KW Number of Circuits 3 ri
Signs Transformers Motors -IL Number of Meters
HP it Z .I� 1 phase Ampere Loads " 7 Lighting Power
Miscellaneous SUj 11 r.t M rlJ
Rough Inspection Dy
Final Inspection B,y
Remarks-IP/7,775 GfCn� ow`_ Qiril}e�
V zao-zo f N