489191105 Rollingdell Ct.
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE <�- 7�% BUILDING DEPARTMENT
APPLICA�yTION FOR ELECTRICAL/PERMIT
Date ------------------------- if ----9------------- 19-?� Permit No.-'-+--�---713---
ThP undersigned her y ke a 'cati f qg EI c 'yel In f the City of San Jose
fora Permit to instal ale a a r n s ' } e verse side.
Exemption from r uiro en tate o Ca' iia o C nire or's Licensre� is hereby claimed
by undersigned: as owner ❑ statement filed,µ99f4-C1
Undersigned attests that his State of Califo Contractor's License #
is in full force and effect and properly a4u�ori �pplicaf' ��
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER m C Construction
ADDRESS 1105 Rollingdell Ct. San Jose,Calif.
USE OF BUILDING Residence �" yr- // - 4 0 9a a. ,
FIRM v r n Plectrie SIGNED
280-10 (9-73)
1105 Rollingdell Ct. P_& B Elect. / .
ITEMIZE THE FOLLOWING
New Old
i
Outlets 20
�j Panels, Cabinets Size Service Conduit
Switches 2. J Switchboards Size Service Wires
Receptacles Panelboards —Size Service Switch 106
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers J_ KW Size Sub Feed Wires
Ranges -Q— KW Heaters KW Number of Circuits _
Signs Transformers Motors umber of Meters
HP _ l'/�i%C Phase Ampere Loads -?-ZLighting Power
Rough Inspection FZ---Z-�1 �. BY
Final Inspection _ -� =� 1 B�
Y 1n-•
Remarks: \1-� =1 c "Y�Y c , �Y Z�Ys -•.s_
1 �.. YN'YT'C Jy'Y�y\.l..tV.1V 1