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87107 1138 Derby shire Building Permit Confirmed Not Required Iff CITY OF SAN JOSE BUILDING DEPARTME T PPLICATION FOR GE'LECTRICAL PERMITS -y Date--------- ------- -=----------- I9?f Permit No---------------a 7107----`--------- The undersig d 'hereb ekes applica}ion } EI I Inspector of the City o4 San Jose for a permit to install el }r' fi a or d on the reverse side. Exemption from ragdn� o al, rn or Con#rac}or's License is hereby claimed by undersigned: as owner ❑ statement filed �' `n"/ Undersigned attests that his S}a}e a ifornia onfrac��Lice se #' ��7•� is in full force and effect and proper /pies San Jose City Business, License # I certify that in the performance o4 }ha work for which this permit fs issued I shall not employ any pe --nin ny man s as to violet the wor en's cempensa} laws of California. ADDRESS USE OF4UILDING FIRM SIGNED FORM 2a0-1012/a)1 10m, Be1ko 1138 Derbyshire kr� ITEMIZE THE FOLLOWING Di a� New Old Outlets OCcPanels, Cabinets Size Service Conduit Switches 9 Switchboards -Size Service Wires T� Receptacles _ Panelboards Size Service Switch Fixtures 0 Festoon Lamps Size Sub Feed Conduit Mercury Lamps Dryers KW Size Sub Feed Wires Ranges KW Heaters KW- Number of Circuits Signs Transformers k.�Motors Number of Meters HP PhaseAmpere Loads Lighting Power Miscellaneous: Q(/ U i Rough Inspection ^�d � By Final Ins ect�i nr— � �' By/ Remarks,, // /(/� r. r 1138 Derby shire Building Permit Confirmed Not Required Iff CITY OF SAN JOSE BUILDING DEPARTME T PPLICATION FOR GE'LECTRICAL PERMITS -y Date--------- ------- -=----------- I9?f Permit No---------------a 7107----`--------- The undersig d 'hereb ekes applica}ion } EI I Inspector of the City o4 San Jose for a permit to install el }r' fi a or d on the reverse side. Exemption from ragdn� o al, rn or Con#rac}or's License is hereby claimed by undersigned: as owner ❑ statement filed �' `n"/ Undersigned attests that his S}a}e a ifornia onfrac��Lice se #' ��7•� is in full force and effect and proper /pies San Jose City Business, License # I certify that in the performance o4 }ha work for which this permit fs issued I shall not employ any pe --nin ny man s as to violet the wor en's cempensa} laws of California. ADDRESS USE OF4UILDING FIRM SIGNED FORM 2a0-1012/a)1 10m, Be1ko 1138 Derbyshire kr� ITEMIZE THE FOLLOWING Di a� New Old Outlets OCcPanels, Cabinets Size Service Conduit Switches 9 Switchboards -Size Service Wires T� Receptacles _ Panelboards Size Service Switch Fixtures 0 Festoon Lamps Size Sub Feed Conduit Mercury Lamps Dryers KW Size Sub Feed Wires Ranges KW Heaters KW- Number of Circuits Signs Transformers k.�Motors Number of Meters HP PhaseAmpere Loads Lighting Power Miscellaneous: Q(/ U i Rough Inspection ^�d � By Final Ins ect�i nr— � �' By/ Remarks,, // /(/� r. r