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48919 (2) 1121 Rollingdell ct. Building Permit Confirmed Not Required ❑ CITY OF SAN JOSE ;4 7� _BUILDING DEPARIMEbT APPLICATION s FORELECTRICALPERpMIT+ SO S-n ( � Date..------------------------- Permit ------------------------� / // The undersigned reby makes application to the Electrical Inspector of the City of San Jose for a permit to in all i in fisted on the reverse side. Exemption fr d% i i or Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed 9944—C1 Undersigned attests that his State of C fornia Contractor's License #' is in full force and effect and properly au{ ri iissa x yL� San Jose City Business License #-� (,L� I certify that in {he performance of the work for which this permit is issued 1 shall not employ y any person in any manner so as to violate the workmen's compensation laws of California., OWNER T.C.Construction ADDRESS 1191 Rnilingdell Ct San Jose Calif. USE OF BUILDING Residence 1-rR'A1�' m �d FIRM P• & B•Electric SIGNED. . 280-10 (9-73) 1121 Rollingdell Ct, 1-25-71-) P & B Elect. ITEMIZE THE FOLLOWING 6/3� �1v �� -4 � New Old Outlets / 9'- Panels, Cabinets Size Service Conduit Switches - Switchboards Size Service Wires Receptacles - Panelboardz _Size Service Switch 10-6 Fixtures Festoon Lamps Size Sub Feed Conduit Mercury Lamps Dryers --/— KW Size Sub Feed Wires 4-4 Ranges KW Heaters KW Number of Circuits _ Signs Transformers Motors _Number r��of//Meters HP �Ae !}C Phase Ampere Loads �_12_Lighting Poger Miscellaneous Rough Inspection By Final Inspection I —Z�1�, By Remarks: \k—I(S –lV 3,6.I,N, AQ—N �A .