48284 1129 Rollingdell Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE �.� �/ 7? BUILDING DEPARTMENT
APPLICATION FOR ELECTRIC, C^PEpRMITp /1
Date------- --- -- ---
I- ------.`-------------. 19-------- Permit No. `TLl-Z-4-�1 .- -----...-
The undersigned hereb kyky�s �a lication to ko ' al Ins of the City of San Jose
for a permit toginstall al
y ic,� p ri as s reverse side.
Exemption from raquir a ate of California fo Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed
Undersigned attests that his State of California r s L'
is in full force and effect and properly authorizes tl ( ion/J' '7
San Jose City Business License # vJ'/ — -9 j OO
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 to violate the workmen's compensation laws of California.
OWNER TJX G 19 iyS7X04-ee-7- `elkl-
ADDRESS
USE OF BUILDING
FIRM Obt'b GL,°rTa,`r_ SIGNED
280-10 (9-73)
1129 Rollingdell P 6 B Elect.
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches 3o Switchboards Size Service Wires
Receptacles_Panelboards ( Size Service Switch <a c1
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers -/— KW Size Sub Feed Wires
13
Ranges KW Heaterz992 a5kW Number.of Circuits _
Signs Transformers Motors �f� Number�o/ff Meters_Q_.V
HP — Phase Ampere Loads Lighfing Power
Miscellaneous ZZ3a + 906
Rough Inspection \ �AA—19--)L By.
Final Inspection By �•�(�,� _ _
Remarks: \
-�\1 U JSL�/. /O-WY�S✓L-�YVK.. � ��/�� �!Y�vV„L