97379 (2) L655 Sar-SunnyvaLe /
' Building Permit Confirmed 2
Not Required ❑
CITY OF SAN JOSEBBUI. DING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date---.- /Y....-------- ------- ---- ----- 19�0��1. Permit No....... ---
The unnd arsigned hereby mak appica}ion to the Electrical Inspector of the City of San Jose
for a permit }o install electric fi u o s K d a reverse side.
Exemption from requirem r e li or is o 0or's License is hereby claimed
by undersigned: as nor ❑ statement filed ❑���
Undersigned attests that his State
of California ntractor's License # �h
is in full force and effect and properly authoriz�e-fh' . yl)jr�orJ%�II /(/ /�J
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER l3G000df �ErJ"i,�i/U/✓i
ADDRESS e S�5" �o 15;mw 0e .,+ ✓(//ice ,yUs1 044?
USE OF BUILDING
FIRM�/'0&/"'/'1 6 &01eld SIGNED�/f7iii
� r
200-10
L655 Sar-Sunnyvale Cupertino 1
ITEMIZE THE FOLLOWING V NewOld
Outlets ___panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires �'���
Receptacles �Q Panelboards Size Service Switch _
Fixtures �-t'' 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 Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection G //— , By
Remarks: