47281 (2) 1104 Rollingdell Ct. /
Building Permit Confirmed 01
Not Required ❑
CITY OF SAN JOSE 1_I b'--)b DING DEPARTMENT
4 APPLICATION FOR ELECTRICAL PERMIT
/� • ` �(72� /
Da#e.L'±'�. �1674-,,516..------------- 197.w Permi# No.---------------.......-----------------
The un ersigned her makes application to the Ejpclric spector of the City of San Jose
for a permit +o instal e e c r s n the, reverse side.
Exemption from r o f n tractors License is hereby claimed
by undersigned: as owner statement filed
Undersigned attests that his State of C I. r Conlr o�,rj'�-�i �
is in full force and effect and properly au♦ +his ap aybQ// �( 9C� 12-
t/
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San Jose City Business License #
1 certify that in the performance of t e work for which this permit is issued I shallnot employ
any person in any manner so alto violate the workmen's compensation laws of California.
OWNER 7'e
uG�FC OP/1IE
ADDRESS 1104 ULC7-
USE
TUSE OFnBUILDING/
FIRM P�1Q -1 t C I t- ( ( SIGN ED��.
280-10 (9-73) �}
1104 Rollingdell Ct. P & B Elect. -I
ITEMIZE THE- FOLLOWING New . Old,
Outlets 20 Panels, Cabinets V Size Service Conduit
Switches Z9 Switchboards Size Service Wires
/Q0FiReceptacles -Panelboards Size Service Switch -1-000-
Fixtures
xtures 2-0 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs ..Tr-ansformers Motors 3 Number of Meters
HP Phase Ampere Loads -Lighting Power
Miscellaneous
Rough Inspection _ ���—� � / By�a1�d����
Final Inspection 16�� 6 BY
Remarks: