96386 1112 Hollyhead Ln
Building Permit Confirmed lf�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
pp APPLICATION FOR ELECTRICALPERMIT
Date ---------- ..... 19P� Permit No.../�0...77r G...-.
Tho undersigned here akar a s lice ion to the Electrical Inspector of the City of San Jose
fora permit to install e c r s e a rovers¢ side.
Exemption from requn a rt o or ' o o
to
License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of lifornia Contractor's License #
is in full force and effect and properly a
San Jose City Business License I r,
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as tof violate the /o,kmen's compensation laws of California.
OWNERr�.r/ G eQ/✓�/tL , " ,ol
ADDRESS I I/.2 / ZOZ/I,�IZ 15 eX �I
USE OF BUILDING F� ,-T eV
FIRMS D�fi/1i P/P SIGNED i�
280.10
1.777 Hi Itvhoar9 Ln Home Owner MaZOr /
ITEMIZE THE FOLLOWING New Old
Outletsy Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires 2i
Receptacles 1 _Panelboards Size Service Switch l.�/•�
Fixtures _—Fesfoon 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
eters _HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By �,.a�
Final Inspection / 9,2—RC1 By
�yy
Remarks: N/h .�:L( �j/i,...��'/ti 'r�C0 Jo
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