79155 /Z)L4 1i011anderry
Building Permit Confirmed
Net Required RX
CITY OF SAN JOSE / -z(.-7o BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
y /
Date----- t— ..........3.0------ 19.(!f f Permit No.--- — �. / 5- 2..................
The undersignl hereb kes a Iica}mn the c{r' 1 f P cfor of the City of San Jose
{ora mpfl to ins el ir' irfy es nd�ar �rJ'h } t o {he reverse side.
EFemption from req n /^i7([( to �f C Tf ni {o Co tractor's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑/ _
Undersigned attests that his State 0f' lit a Contra tor's License 7u,-.
is in full force and effect and properly f chis a ��
P P y Ppy'J}�/��/�ytirr�
San Jose City Business License ll.// �� y '�(_�/dCJ
I certify that in the performance of the work for which,lthis permit is issued I shall not employ
any person in any mann r as to violate e work en's 66mpensation laws of California.
OWNER
ADDRESS
USE OF BUILDING
FIRM SIGNED / /
280-10
7524 Hollanderry /Z-/z -65 Dodd
ITEMIZE THE FOLLOWING New Old
Ouflets Panels, Cabinets Size Service Conduit
Switches 7 Switchboards Size Service Wires 2—
Receptacles
Receptacles X16 Panelboards Size Service Switch /Ue7
Fixtures - "I Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires 7
Ranges KW Heaters KW Number of Circuits
Signs Transformers Motors Number of Mefers _
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection _ c'-y��l ' y) By
Final Inspection . a,3 gy
Remarks: /Z_�a�s H o e ( p p . QK��