60969 (2) 7645 Wp7qTERFORD DR:;/ (T&F) POOL
r�!✓E CCO'S 0TS(a - Building Permit Ccnffrmed�
Not Required
.CITY OF SAN JOSE � �-�s� BUILDING DEPARTMENT .
APPLI ATION FOR ELECTRICAL PERMIT j6..31,9 �
Date-- --- /`.fi.. _ .....---........ 19...---- Permit No.------ .d_ f/!../--------------------
rs6her makes a plica}ion fo the Elect ice Inspector of the City of San Jose
The and g
for a permit to'instal u r it Won the reverse side.
Exemption from re a c ar al' o Won
ontractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Califj&a Contractor's License # Z543
is in full force and effect and properly eufhorifE;/,�sy app
San Jose City Business License'#` �(/
fr I certify that in the performance of the work for which this permit is ssuedI shall not employ
any person in any manner so as to viola , the workmen's compensation laws of California.
OWN ER- 4
ADDRESS71
USE OF BUILDING
FIRM , '� � / SIGNED 2 0-201n
ITEMIZE TH�E/ FOLLOWING New Old
Outlets /' Panels, Cabinets _Size Service Conduit /
Switches 2 Switchboards Size Service Wires //
Receptacles Panelboards Size Service Switch
Fixtures Festoon Lamps Size Sub Feed Conduif
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters _
HP `3 fl�f,57 phase Ampere Loads Lighting 9 g Power -
Miscellaneous
Rough Inspection B
rS' -7 - Y
Final Inspection ,��y
76:-
Remarks: S-/ �8 SE �n/� A' "- £ CE - 3=l -�� ^t /
't �FXfdi(_�ot(�EttG ro
280- Oln
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