14920 (2) 1325.
Saratoga-Sunnyvale Rd,.
Buildirig PermS'.Confirmed ❑/
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dafe.=✓- 16�4..17 ---------- 19----- Permif No------ ..L.- ...0
undersigned here makes app' atio to the Elec+ri Inspector of the City of San Jose
fora permit fo ins+all e c c F r it on the reverse side.
Exemption from re or o a iforwe Jroonfra c+or's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned aftes+s that his State of Cali ni on}ra is is � 7®�
is in full force and effect and properly authe 's ay pkc
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued'l shall not employ
any person in any manner so as to violate he orkmen's compensation laws of California.
OWNER - — � r-r. A.
f i w • " V
/ADDRESS�/�
USE OF BUILDING �y
FIRK / � SIGNED C�-- �
leo-Io
1325 'Saratoga=Sunnyvale rd . Mid State Electrit6
ITEMIZE THF 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 3 __Number of Meters _
HP,1 rf , `3/ Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection P ZBy `'
Remarks: %f n ErN` til• V.