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86533 1658 Jamo-staon Building Permit Confirmed 7 Not Required CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ��./ t 153 Date---- �.SG`:---- - -----. 19� Permit No.------'----- --'------'�----...----- Theundersigned hereby makes application to the Electrical Inspector of the City of San;Jdse fora permit to install el r1 1 a n in reverso side. 1 Exemption from re e r a Ca i ie o r or's License is hereby claimed # by undersigned: as owner ❑ statement filed 191 Undersigned attests that his Stat of California Contractor's License is in full force and effect and proper razes j}�is .fta 'oryt/ / /' San Jose City Business. License 7// I certify that in the performance of the work for which this permit is i ued I shall not employ any person in any mangier_so"a's to violate the workmen's compensation laws of California. OWNER 7c�&Aft ADDRESS �So P � USE OF BUILDING ,51, .IG/ a AxUtu L� l � L FIRM�J2f--e t (-7LffSIGNED A �- FORM 280.10 (2/67) 10M 1658 bJamestown Gotelli� ITEMIZE THE FOLLOWING New Old Outlets ' Panels, Cabinets Size Service Conduit Z Switches f 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 _ �� /"�p Phase Ampere Loads Lighting Power Miscellaneous Rough Inspection _ f -By / Final Inspection / / gy Remarks: 7—'/ �"�7 (',/ ��� F:� YO�7 ..>v e-LiF, a