17364 1699 Saratoga &',& Sunnyvale Rd. —
Building Permit Confirmed 211/
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
A/PPLICATION FOR ELECTRICAL PERMIT
Date.--d•/-j/--�----/------------------------- 19.,,.L�Permit No.--19-M-l----------------------
The undersigned hereby kes applice+ion to the Electrical Inspector of the City of San Jose
for a permit to install al ric s / irin lis} reverse side.
Exemption from requ a} o or's License is hereby claimed
6y undersigned: Lzxowner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License #'_-L� ' �S'
is in full force and effect and properly au}horixescw}io
San Jose City Business License # L/� -4 1s i / ✓ r e
I certify that in the performance of the work for which this permit is issued I s all not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNERD�
ADDRESS Zl� `j a(��f—���+� b �•
USE OF BUILDING� �� n
FIRM�j r e% `4 - SIGNED
FORM ZOO-10 110/67l IOM
1699 Saratoga & Sunnyvale Rd. Goold Elect 9
ITEMIZE THE FOLLOWING New Old
r
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panel boards Size Service Switch _
Fixtures f 3 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW_ Heaters KW Number of Circuits 2—
Signs
Signs Transformers Motors Number of Meters _
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection �/— / ��� By
Remarks: �J �J