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60969 7645 Wp7qTERFORD DR:;/ (T&F) POOL r�!✓E CCO'S 0TS(a - Building Permit Ccnffrmed� Not Required .CITY OF SAN JOSE � �-�s� BUILDING DEPARTMENT . APPLI ATION FOR ELECTRICAL PERMIT j6..31,9 � Date-- --- /`.fi.. _ .....---........ 19...---- Permit No.------ .d_ f/!../-------------------- rs6her makes a plica}ion fo the Elect ice Inspector of the City of San Jose The and g for a permit to'instal u r it Won the reverse side. Exemption from re a c ar al' o Won ontractor's License is hereby claimed by undersigned: as owner ❑ statement filed ❑ Undersigned attests that his State of Califj&a Contractor's License # Z543 is in full force and effect and properly eufhorifE;/,�sy app San Jose City Business License'#` �(/ fr I certify that in the performance of the work for which this permit is ssuedI shall not employ any person in any manner so as to viola , the workmen's compensation laws of California. OWN ER- 4 ADDRESS71 USE OF BUILDING FIRM , '� � / SIGNED 2 0-201n ITEMIZE TH�E/ FOLLOWING New Old Outlets /' Panels, Cabinets _Size Service Conduit / Switches 2 Switchboards Size Service Wires // Receptacles Panelboards Size Service Switch Fixtures Festoon Lamps Size Sub Feed Conduif Mercury Lamps Dryers KW Size Sub Feed Wires Ranges KW Heaters KW Number of Circuits _ Signs Transformers Motors Number of Meters _ HP `3 fl�f,57 phase Ampere Loads Lighting 9 g Power - Miscellaneous Rough Inspection B rS' -7 - Y Final Inspection ,��y 76:- Remarks: S-/ �8 SE �n/� A' "- £ CE - 3=l -�� ^t / 't �FXfdi(_�ot(�EttG ro 280- Oln ; ooc U6•NrS a1C SFiA