98093 1655 Sar-Sunnyvale Rd
Building Permit ConfirmaCLJ
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date--/--` ---------------.. 19&1;y Pernni# No. .....................
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install clectrica ' tures i /o wirin as li ted,on t verse side.
Exemption from require nt ni or o ' License is hereby claimed
by undersigned: as o er statement filed ❑
Undersigned attests that his Sta a of Californi Contractor's License .j{'
is in full force and effect and properly authorizes th' tionJJ�//� '^
San Jose City Business License # y/�
I certify that in the performance of the work for which this permit is isued I shell not employ
any person in any manner so as/to violate the workmen's compensation laws of California.
OWNER /JeS/�OtCJs
ADDRESS �6S S— S'�7/1.CJlar-f¢ S[ iz/wyU�9�6' �1c�
USE OF BUILDING
FIRM �'� ��� Yin SIGNED w_
280-10
1655 Sar Sunnyvale Rd Ad Art
9
ITEMIZE THE FOLLOWING ----_� New Old
Outlets Panels, Cabinets /Size Service Conduit \
Switches Switchboards SizeService 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
eters _HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection p- B
Final Inspection
Remarks: ' By— 7e e6.. ,*e —