29364 (2) 7643 Hollanderry PL.
Building Permit Confirmed
Q Not Required
rO CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT �—
r _
/19.36
Daf ------ -------��----- - -- 19----- Permit No.---_----------- -------- ---------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install elec ric I 'A / ir' oa ste ,,rs>}he reverse side.
Exemption from rag�ptl�Mq Iftorffj�GXl;rac}or's License is hereby claimed
by undersigned: s owner ❑ statement filed
Undersigned attests that his Stet����ppppf rain r' erye
is in full force and effect and prop hyo .ifxes ii , e
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I shall not employ
r any person in any manner so o viola
OWNER the workmen's compensation laws of California.
-P�
ADDRESS
USE OF BUILDING
FIRM SIGNED g
280-10 (9- 3) /
1L
17643 Holland'erry,',- Pl. A elders
q
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch
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 0_4�_Lighting Power
Miscellaneous !/
Rough Inspection By��6��G8�/✓/
Final Ins ection '' /4)--Z ""7 gy
Remarks� �
gasoo.� -,� ,�W§,��,�t , .