93329 1655 sar--s un
Building Permit Confirmed 21
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTM��
APPLICATION FOR ELECTRICAL PERMIT
Date.. ..---�1.�0.-`+ .�. .._. 19---..... Permit No..=G..�.�v�5.7.... - -...--
The undersigned hereb akes applicatio to t Electrical Inspe of the City of San Jose
for a permit to install c ct al s n �4 revers. side.
Exemption from ra ro n�fW alit f o ra or" Licanso is hereby claimed
by undersigned: IXs owner ❑ statement filed ❑
Undersigned attests that his State of California C fractor's License {' Z2
is in full force and effect and properly authorizes this tion. /� /��
San Jose City Business License # l
I certify that in the performance of the work for which this permit is issued I shaft not employ
any person in anylii7nner so as to violate the workmen's co ¢nsation laws of California.
OWNER "D� Z512
ADDRESS
USE OF BUILDINGS
FIRM /�/ SIGNED
FORM 2BO-10 (e/69) IOM
1655 Sar-Sunnyvale AD ART
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panel boards 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 _fes Transformers Motors Number of Meters
HP 'Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection p By
Final Inspection �d — I �� By
Remarks: