49809 7524 HOLLANDERRY PLACE Building Permit ConfirmedEjo-
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
c� a
Date.12-`..ZLZ.............------------ 19.76. Permit - --------...-----
The undersigned hereby ma a pli ti n to he Elect ical In for of the City of San Jose
for a permit to install elect
r ri e e reverse side.
Exemption from require a1 Ca rnf o o clor's License is hereby claimed
by undersigned: a owner ❑ statement filed ❑
Undersigned attests that his State of lifornia Contractor's License #CIO 5:2 6 9X5""
is in full force and effect and properly eu o' Ohis pfr� / �
San Jose City Business License # /�/(/6/-7e-- —
I certify Aaf in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as 10 violate the workm 's compensation laws of California.
OWNER
ADDRESS
,5;. l astir
USE OF BUILDING
FIRM SIGNED 28'0- 01 n
7524 HQLLANDEFj PLACE PACTFTC FT.Pf"PRTP -/
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches _ Switchboards Size Service Wires
Receptacles 7 Panelboards Size Service Switch �OOf3'
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 -160 Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection — —11 ByA -
Remarks: I,rj, 190.1
280-20]_n