56358 (2) 1167 Stafford Drive pool
Building Permit Confirmed
Not Required LJ�/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIONAPPLICACQTTION FOR ELECTRICAL PER/MIT W5P "'S3
Da .....!..'7 J7Perrnif No._�f� - --------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
fore permit 4o install el firi al fistrCes end/o�wirirrg' ks%d•on�he reverse side. i
Exemption from ragmremenlr or Ste of Callfor a for-Contractor's License is hereby claimed
by undersigned: V /as owner ❑ statement filed
Undersigned attests that his State of California Contractor's License #
is in full force��nd �ffact and properly auth hi licetion.
San Jose City�Business L°iee � �p1 `O' -
Icertify the nytl,e performance of the work for which this permit is issued I shall not employ
eny person In any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS 11
USE OF BUILDING k ,
FIR tD rjl X,`)PLA1
zee-20I
ITEMIZE THE FOLLOWING New . Old
Outlets Panels, Cabinets Size Service Conduit
Switche:r_=_ Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch
Fixtures -) Festoon Lamps Size Sub Feed Conduit
'Mercury Lamps Dryers KW Size Sub Feed Wires
_Ranges KW Heaters KW—Number of Circuits _
Signs Tr sf merz Motors z Number of Meters
HP 44. 1 Phase Ampere Load,-Lighting Power
• Miscellaneous > 1 I f 4 yjk & ossa
Rough Inspection •By
�
Final Inspection — By �4AZII .
Remarks: _/3
' -1 ) 1 n,•/G•4' ��/•oa-G
y-s 7sE�iVG°Y,.i^ "'•!� ° i�2�iS be�+�1C o ft ]3-77 5 E N �itw
280-201N