51634 �206 R�QPPELL PL. POOL Building Permit Confirmed ❑
---OL ,{' Not Required Y :/J
CITY OF SAN JOSE BUILDING DEPARTMENT ✓
APPLICATION FOR ELECTRICAL PERMIT
Dafe e.2 ' ....----- 197.—f Permit / -----------...---
The undersigned hereby ma z appl'ce+fan + the Eley}rical nspecfor of the City of San Jose
fora permit fo ins+all electric I' irn the reverse side.
Exemption from requirem r a a i rni o ntrecfor's License is hereby claimed
by undersigned: es wner ❑ statement filed o
Undersigned attests that his State of California for
is in full force and effect and properly au'th'orizes thi� icr�eti/nd�
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in any manner so as to viol fe�rthe workman's compensation laws of California.
OWNER � . G�Pl -'e',-ert?>
ADDRESS
USE OF BUILDINGS
FIRM /A ^` -441GNED e 80-201n
„ j u
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panel boards Size Service Switch
Fixtures 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--
H P
etersHP _ Z /y 0a Pha e/ ��
Loads Lighting Power'
Miscellaneous
Rough Inspection
By
Final Inspection B
R�erparr s: 'Z-7l
IG O / 280-201n
r>7