47713 1144 Rollingdell ct
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE ���� 77 BUILDING DEPARTME
APPLICATION FOR ELECTRICRMIT
Date... r.ZG-r----r�-------.....--.. 19.'/0. Permit No.-----I-�'-pj_3-------------------
The undersigned here �plifio Electric pecfor of {he Ci{y ofSan Josa
fore permit }o ins}ell eilis o the reverse side. `Exemp}ion from requiremreefor's License is hereby claimedby undersigned: statement filed ❑
Undersigned attests that his State of California onfrra Sars
is in full force and effect and properly eu}hoj:es f s yQ+Meafio (/,r
San Jose City Business License # 'Y�' f'•�J) /�/
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 %e A1 UEJT
ADDRESS /6L Li�� LCC L
USE OF BUILDING uJ G'
r�v,� SIGNED
2 0-201n 9
1144 Rollingdell ct PkR r
ITEMIZE THE FOLLOWING New Old
Outlets t�? Panels, Cabinets I Size Service Conduit �
Switches •30 Switchboards Size Service Wires
Receptacles A6L _Panelboards Size Service Switch �Ls0 /9
Fixtures 9 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers _� KW 3 Size Sub Feed Wires /
Ranges o•2 KW Heaters KWNumber of Circuits
Signs Transformers Motors Number of Meterz
HP A!f' •fro7 Phase—Ampere Loads
Lighting Power •
Miscellaneous
Rough Inspection _ \ Z 7 By �•'lr�'sA
Final Inspection
Remarks: I L—\-16 S•Es Lt.,j i(--M \1- 2. :71
SG.itA80-201ri