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98251 (2) L655 Saratoga SunnyvaLe Rd . Building PaConfirmed ❑ Not Required ©-� CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR/ ELECTRICAL PERMIT Date-----------:..-' ---�------------------------- Iqz .. Permit No........ua-J. /--------------- Tho undorsig ned hereby ekes application to the Electrical Inspector of the City of San Jose for a permit to install ele ica i u / ing" e the re.erse side. Exemption from requir to rnif o racfor's License is hereby claimed by undersigned: a owner ❑ is Livenfiled Undersigned attests that his State of Calif rota Contractor's License e is in full force and effect and properly authoriylIJ6-applica+i i San Jose City Business License fir` r. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any ma as to violaf/+ho workmen' 7omp,ennsa+ion laws of California. OWNER ADDRESS USE- F BUI DING IGNE FORM 280-10 (REV. 9/66) IOM o\` 1655 Saratoga SunnyvaLe d . BosheLl ELectriC ITEMIZE THE FOLLOWING /,;LO/2'/D 3 ¢ �� New Old Outlets Panels, Cabinets Size Service Conduit Switches GG Switchboards Size Service Wires _ Receptacles �L�Panelboards —Size Service Switch U Fixtures _� Festoon Lamps Size Sub Feed Conduit Mercury Lamps Dryers KW Size Sub Feed Wires Ranges KW Heaters KW Number of Circuits - Signs 7 Transformers Motors / Number of Meters - HP Z Phase _Ampere Loads Lighting Power Miscellaneous Rough Inspection _ Y Final Inspection _ �.1 �(� 9 By Remarks:g•/3—(7 /,I/J77 WIO�(�.��aG,�