90241 1471 Saratoga Sunnyvale /
Building Permit Confirmed I�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR/ ��EEjLECTRICAL PERMIT
Date..— �-�-------------------------- 190CSPermi# -._..._-------------
The undersigned herele makes a plication 4o the Eltricenspector of the City' of San Jose
{ore permit fo install el tri a i' i n r on the reverse side.
Exemption from requl o r onfractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
attests that his State of Californ' Co,B.tractors License # '2–
Undersigned
is in full force i d effect and properly au}hp—4/jk6n pati
San Jose Cit Business License � ?�
I certify that in theperformance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate theworkmen's coo9mppensation laws of
California.
OWNER QA Qa A/`^ RZ: Q Cc Leg ,'
o^ -I°
ADDRESS/r-1 /—Ql/�Cs�O—�cb Po
USE OFF� uBUUIILDI�jG �
BUILDING �
`�' ti--
FIRM �� /X k�t� - SIGNED ` /�
FORM 280-10 (10/67) IOM
1471 Saratoga Sunnyvale Ad Art
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires _
Receptacles Panelboards 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 _
HP Phase Ampere,Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection
Remarks: