28332 1545 Saratoga-Suryvale Rd. Building Permit Confirmed ❑
e� Not Required loegto—
CITY OF SAN JOSE y Zy / BUILDING DEPARTMENT
APPLICATION FORELECTRICAL PERMIT
Date - / �� l /S 197.-/. Permit No. v�3�---------....
The undersigned hereby makes application to the Electrical nspector of the City of San Jose
for a permit to install electric it as s verse side.
Exemption from require nt ' ornia or c s License is hereby claimed
by undersigned: as ow r ❑ sfatemen} filod �.L33569 ` C k 0
Undersigned attests that his State of Califor�� actor's License
is in full force and effect and properly authorizes/j1R pplicati ��
San Jose City Business License $� � � '
I certify that in the performance of the work for which this permit is issued shell not employ
any person in any manner so as to viola1the
workmen's compensation laws of California.
OWNER ecr -At-c-,
ADDRESS I ��� Tob - tie Le •
USE OF BUILDING r
FIRM V.A 21, L �'. Gi 6 SIGNED
=eo_,e
� 9
1,545 Saratoga-Sunnyvale RD Hunter El.
-
ITEMIZE THE FOLLOWING New Old
Outlets -/-Panels, Cabinets —/-Size Service Conduit : 3IY
Switches Switchboards Size Service Wires
Receptacles _��_Panelboards Size Service Switch X00 140
Fixtures `-) Festoon Lamps Size Sub Feed Conduit.
Mercury Lamps Dryers KW Size Sub Feed Wires 0,7
Ranges KW Heaters KW Number of Circuits _/O
Signs Transformers Motors Number of Meters_
HP Phase - Ampere Loads 7�Ligh+ing Power
Miscellaneous
Rough Inspection r� ^� By
Final Inspection By
Remarks: