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68810 1059 Tuscany P1. POOL BuildingConfied ^�(r".1 — •� Not Required rm CITY OF SAN JOSE BUILDING DEPARTM—Ebg— APPLI/CATION FOR ELECTRICAL �PERMIT •70-9J,yW,, Date---------z------------.�. ............. 19.7./. Permi# No...1J.S -------------- - The undersigned he makes application to the Electrical Inspector of the City of San Jose for a permit to install electrical fixtures and/or wiring as listed on the reverse side. Exemption from re uir en} for Si to of rnie for Cant rector's License is hereby claimed by undersigned: //,gym ,/,"��� /�J��(//� statement filed ,. p Undersigned atlesiNe x${77 of lif.rni. Co rector's License is in full force and effect a properly au}horizea�i' �appliceti San Jose City Business License # ��� 7 'Y I certify that in the performance of the work for which this permit is issued I hall not employ any person in any manner so as to violate the workmen's compensation laws of California. OWNER _ ADDRESS USE OF BUILDING FIRM a�ttn SIGNED ' Gee-201 N� ITEMIZE THE FOLLOWING New Old Outlets a. Panels, Cabinets Size Service Conduit Switches 3 Switchboards Size Service Wires Receptacles Panelboards Size Service Switch /60 Fixtures __�_Festoon Lamps Size Sub Feed Conduit Mercury Lamps Dryers KW Size Sub Feed Wires _ Ranges KW Heaters KW Number'of Circuits Signs Transformers Mo _ - r � ��Number of Meters _ HP // F/Q �� . phase Ampere Loads ��_Lighting - Power Miscellaneous 6� Rough Inspection By ' - Final Inspection Remarks: I i$ S ,[,Q By 1 / / 9'- •� «-G 64.79 uG-CL�.r�ok. S 200-201N