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1201 (2) 1699 Sar-Siunnyvale Rd Building Perm!+ Confirmed ❑ /_ Required CITY OF SAN JOSE (D-IO-IO BUILDING DEPARTMENT �j APPLICATION. FOR ELECTRICAL PERMIT Date.....L.... �...'.5............. ...... 14�'..JcPermit No. /)--0/------------------------------- - The undersigned hereby makes plication to the Electrical Inspector of the City of San Jose {ora permi} fo install electrieel ix4 g�jjh r r' s ' �d�pn�l License side. Exemption from raquiramen o o r or or on a s Licanso is hereby claimed by undersigned: as o ner ❑ statement (fled ❑ Undersigned attests that his State of California Contractor's License #.'g:?/'=l' T=2�' C/C is in full force and effect and properly authorizes this San Jose City Business License # I certify that in the performance of the work for which this permi} is issued I shell not employ any person in any manner so to vio to the w rkmen's compensation laws of California. OWNER / ADDRESS USE OF BUILDING `FIRM v ' SIGNED_ z� POeM9280-,IOi Itl/eel IOM- /x . / 7-i697 - San lose I 1.699 Sar-Sunnvvale Rd Mid .state ITEMIZE THE FOLLOWING New Old Outlets Panels, Cabinets Size Service Conduit _ Switches t>2, 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 Number of Meters _ HP Phase Ampere Loads Lighting Power Miscellaneous Rough Inspection By Final Inspection --2—Z(2 By Remarks: