48571 (2) Q-1655 Saratoga-Sun�yvale Rd.
• Building Permit Confirmed
Not Required xe❑
CITY OF SAN JOSE 7;1 ,BUILDING DEPARTM�N_T
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APPLICATION FOR /ELECTRICAL PERMIT
+Da#e-... G'.T._,2�.................... 197(0. Perrni# No._ - �-/---------------
The undersigned hereby akes application to the )Electric I ecfor of the City of San Jose
;for a permit to install ele ri i r n li the reverse side.
Exemption from requ ( is r rector's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Ca' ngConfractor's License # 3,25950 l•
is in full force and effect and properly auf 3 aytp'
San Jose City Business License # Cl
I certify that in tha performance of the work for which this permit is iss ad shall not employ
any person in any manner so as to violate the workmen's co7Lp,,pAaa/Af�lon lawsXo al'orni .
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ADDRESS
USE OF BUILDING �L�sA �TEp�N'S �p��E��TAyJu'CN'�f
FIRM �cS/� L'��—J'Se�L' SIGNED,4 -1.
280-201n
1655 Saratoga - Sunnyvale Ed. Flash Elect.
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