41071 (2) 603 STENDAHL LANE —/
Building Permit Confirmed fd .
r Not Required ❑-
CITY OF SAN JOSE BUILDING DEPARTMENT
o�
APPLICATION FOR ELECTRICAL PERMIT
Date--------- ..2.....l v----------------- 19,...S.. Permit NAL
undersigned hereby makes application-to the Electrical Inspector of the City of San Jose
fore permit to install ale i I ix a nd w" y on the reverse side.
Exemption from req r o do ontractor's License is hereby claimed
by undersigned: owner ❑ statement filed ❑
Undersigned attests that his State ofCalifornia Contractor's License #
is in full force and effect and properly authorizesr� Pfrplicat, .
San Jose City Business License # '/f`
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 A 1 I0 " Sha /L
ADDRESS G 0 3 S f 011 d lk a / LR c
USE OF BUILDING 'FQ V^ KS/ d e C e,
FIRM SIGNEDU�
I 280-201n
603 STENDAHL LANE HO
ITEMIZE THE FOLLOWING New Old
i$ Outlets Panels, Cabinets Size Service Conduit
Switches 3 Switchboards Size Service Wires
Receptacles 10 Panelboardz Size Service Switch /00
aFixtures / Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW
%, Heaters KW Number of Circuits
b
Signs Transformers Motors Number of Meters
14� HP Phase Ampere Loads Lighting ?O_" Power
Miscellaneous
Rough Inspection B
' y r.i
n Final Inspection By
Remarks: /2o-/Z-7_r��
280-201n /