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35355 7546 ' Defoe Ave. / /� r_ �.�Cocti Building Permit Confirmed 2 N6G� Not Required ❑ CITY OF SAN JOSE 4" _al BUILDING DEPAR l&MT APPLICATION FOR ELECTRICAL PERMIT / - � s �S Date-Y/ 19L.--. Permit No. --- ..._.....3--------'-----...-- The undersigne 'hereby makes application +or+he Electr' al Inspector of the City of San Jose fora permit to ' c c an r n s d on the reverse side. Esomptio r en+ S f i �a Contractor's License is hereby claimed by undersigne as owner ❑ statement filed C:1 _ Undersigned attests that his State of California Contractor's License # / 5 R9 03 is in full force and effect an roperly authorizes +,'s ap I' t' 'San Jose City Business a I certify that in the p nc of the wor fo h tis ermi is a -I shall not employ any person in any manner o as o viola+e the workmen's compensation laws of California. OWNER �af 2 S H Y� ADDRESS -7 A ��' USE OF BUILDING / /=ate e FIRMSIGNEDCal . 280-10 7 <DA e Ave. j:e� ! '©i' Am,, Sure /6 a% ay , . ITEMIZE THE, FOLLOWING New Old Outlets Panels,Cabinets Size Service Conduit �y Switches -3 Switchboards • � Size Service Wires f4 z. Receptacles 3 Panelboards. Size Service Switch Fixtures Festoon Lamps Size Sub Feed•Conduit Mercury Lamps Dryers ._.I KW�"ize Sub Feed Wires Ranges KW Heaters KW Number of Circuits _ Signs Transformers Motors Number of Meters HP Phase Ampere Loads Lighting Power Miscellaneous a�� Rough Inspection 75— By Final InspectionB Remarks: a2�'S- y V077— j —�L