86533 (2) 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