93952 1641 Jamestown
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date---`-- .�--..2.T----------------------- 19.0 Permit No.--------- l 4. -5TC.72"�.......
The undersigned h eby as ap ' atio e I 'cal Inspector of the City of San Jose
for a permit to inst e a o s sied on the reverse side.
Exemption from a ent or Sta c lfornia for Con}racior's License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned ai}es}s }hei hi fat Ca r r 1 se h
is in full force and affect andp ry�au} r a 'an
San Jose City Business Lic nse
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the/workmen's compensation laws of California.
OWNER //AM l�T� ✓ n. (� 7t"W Ae?/
ADDRESS �/^ �� ��1FS ��--' "Wn1 �nR SA J NOSE
USE OF BUILDING 51 F C L I .I�Gf EGL/n/ .
FIR E .v n ' - t JWWrt(�J SIGNED
FORM 200.10 (5/99) IOM
I
1641 Jamestown =eJ STEB7AR
ITEMIZE THE FOLLOWING New Old
OutletsLL Panels, Cabinets --Size Service Conduit
Switches J` Switchboards Size Service Wires 0
Receptacles _Panelboards Size Service Switch A,
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 vZ' Number of Meters _
HP 1 r, Phase_Ampere Loads •S Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection — By �N
Rem arks:/O
.(/_ j/'J
4 Lery-/�-e^-c�/