66188 1150 Stafford pool T&F
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE - BUILDING DEPARIMENT
APPLICATION FOR ELECTRICAL PERMIT'S
_ Date-----/1 19.------ Permit No.---- -- -Id.-.Q---,65,5l�P
The under' nad h eby/riakes�arplicefio;to t a Electriaal,inspecfor of the City of San Jose
for a permit to install elelricglrfj; ��pr a ist�on the reverse side.
Exemption from requiremen for Sta a of �Yfornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of California;CooCactor'),License # �-S- 3.-3��'
�p
is in full force and effect and properlyauthorizes TBis a licafiio .
San Jose City Business License # �• /9�y /�
I certify that in the performance of the work for which this permit is issued I�shall not employ
any person in any man so as to violafe the workmen's compensation laws of California.
OWNER �l✓
ADDRESS'
USE OF BUILDING
FIRM1 '� SIGN D
�, 2 0=201n
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit /
Switches 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 Heafers KW Number of Circuits _
Signs Transformers Motors `L' Number of Meters
HP .�� Phase Ampere Loads " Lighting Power
Misc laneous �a!!n
Rough Inspection Fl
� � y
Final Inspection -
Remarks://-s] By
/-dfJ'7f/71 ./ gSld� ��_✓�/� .UiF 280-201n
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