9439 tll l 845 Cottonwood
Building Permit Confirmedsl';Y'�
Not Required
CITY OF SAN JOSE BUILDING DEPARTtA" T_
APPLICATION FOR ELECTRICAL PERMIT
-?`1---------------
Th.
I Dafe-------`.---------------'�:.�..1.-- 19.71.-- Permit No.------"----_9. e?.
_ undersigned hereby makes pli< 'on to th Electrical Inspector of the City of San Jose
for a .permit to install electrical fi ur / 9 li terse side.
"Evamplion from requirement o 0 or L cense is hereby claimed
by undersigned: as owner statement filed ❑. 243156
Undersigned attests that his State of alifornia Contractor's License # r
is in full force and effect and properly authorizes this a�pl�cgM ' � /w/�•,WOL
San Jose City Business License # //r� /,V/�
I certify that in the performance of the work for wKich t is permit is issued I shall not employ
any person in any manner so as,to violate the workmen's compensation laws of California.
OWNER At/ $ —
ADDRESS L1,5— (ti z,'�
USE OF BUILDING llkrc /� ' • ��
FIRM SIGNED-
280-10(
IGNED-260-10f 9
845 Cottonwood Belko Electric
ITEMIZE THE FOLLOWING New Old
Outlets 7 Panels, Cabinets Size Service Conduit /
Switches 7 Switchboards Size Service Wires /t L
Receptacles %-2. Panelboardz Size Service Switch
Fixtures 7 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges - KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection 0-7/ By e
Final Inspection J "2/.r y,,,,_,.c By
Remarks:5/„z0'�/Ol�u.o"'-�b2..aer0 � ,_f�-�-^�9'�ct -T-/C2s•.'�U�% �n�„zc� inOu4