55591 (2) 7592 Hollanderry,
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.-F-.YJ ----�.�......----------------. 19 .7 Permit No.-----��„ ---F
The and r igned hereby makes application to f e Electrical Inspector of the City of San Jose
for a permit o install clectr' al u o r' g e' on Morse side.
Esempfion from 'aqui' i f o c s/License is hereby claimed
by undersigned: a owner statement filed ❑
Undersigned affests that his State �fC�C, alifornia Contractor's License #
is in full force and effect and properl� Lrs'this
i San Jose City Business License # / / ��
I certify that in the performance of�the work for which this permit is issued shall not employ
any person in any manner so as to violaffee the workmen's compensation laws of California.
OWNER saJ -Pa K 'V:,-,LzKas
ADDRESS PI
USE OF BUILDING 1
FIRM27-( ym7, SIGN D
W,,v- - 7 31 -o-) 1 ( _/ 280-201N
7592 Hollanderry ✓ ho
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch JDA
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 Ampere Loads Lighting Power
Miscellaneous ��++
Rough Inspection p
Final Inspection / — �� —7 B
Remarks: /£(77�� "23-JJ ti 5P_3l_7�S�.yaf/
260-201H