7354 7627 Hollanderry Place
Building Permit Confirmed (�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT_
APPLICATION FOR ELECTRICAL PERMIT
Date...--�-L2:-� ------------------ 197 .: Permit No......----���.----------......
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install Bloc}y'�aI ix ur / r' f s the reverse side.
Exemption from requ'/e fe �.a P.pr:rrf nfre ctor's License is hereby claimed
by undersigned: owner ❑ statement filed ❑
Undersigned afterthat his State pf� cf�o lnia Contractor'sLicense # —
is in full force and effect
ct and pro er onzes
San Jose City Business License �`r # � °"E.(//'
1 certify that in the performance of the work for which this perm,{ is issued I shall not employ
any person in any mCd
so as to violate the workmen's compensation laws of California.
OWNER �C. D — ( D Co
ADDRESS 72 7 yo //9wale,��� „ /���'GE .
USE % BUILDING — •� 6� =
VING70N ELECTRIC /,t
FIRM 1171 SIGNED
0o r""niil3pgfrR�
280-10(10-FAT' Jose,
Calif. 951L4
PH. 2661727
7627 Hollanderry Place Covington Electri
ITEMIZE THE FOLLOWING New Old
I
Outle}z Panels, Cabinets Size Service Conduit y
Switches �2q Switchboards Size Service Wires - #Z.
Receptacles / Panelboards Size Service Switch /$'aC. OD 4.
Fixtures Z• Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires pro
Ranges KW Heaters KW Number of Circuits ---3 _9 o
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection — I-?5`70 By
Final Inspection By
Remarks: U