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85757 1135 Hallyhead g 7-G 7 Building Permit Confirmed . Not Required CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR ELECTRiEAL DPERMIT Date---......... ._---�- ------------------- 1967 Permit No.---V-.`S..7J.-7----------------------- The undersigned her b mak s li the cal Inspector of the City of San Jose fora permit to insteI e r or w s sled on the reverse side. Exemption from u r n# f ate of if ni or (Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed Undersigned attests that his St?) of liforni'a�]Cont cto 's License is in full force and effect and prop rl rues apt- c ? � San Jose City Business, License ,/ I certify that in the performance aShe work for which this rmit is issued I shall not employ any person in any manner so as t ate the workmen's compensation laws of California. OWNER ADDRESS 3 S r USE OF B ILDIN FIRM FORM SIGNED - FORM 280.10 (2/9]) IOM 1135 Hollyhead Dodd (GJ ITEMIZE THE FOLLOWING New Old Outlets Panels, Cabinets Size Service Conduit Switches Switchboards Size Service Wires L Y Receptacles Panelboards Size Service Switch _�©� le'D 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 mpere Loads Lighting Power Miscellaneous Rough Inspection ! r -By Final Inspectifo J g Remarks: /// y J[ 7 "I/ 10. E� ' / G�rrA l'a a, h15 y