47713 (2) 1128 Rollingdell Ct
Building Permit Confirmed 1/
,Not Required ❑
CITY OF SAN JOSE L_��_-� b BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMITk-43 IZ`l
�] a
Date- ,Srpp.i..../;3-----------------.. 19.7 Permit No. �. ' `� �....................
The undersigned hereb ekes ap licef'pn t he Ewt i el I }or of the City of San Jose
fore permit to ins
}all el cfr' H n r7d'�(�jrd� fio reverse side.
Exemption from requi amen r Sfate o Ca i orni. for Contractor's of
is hereby claimed
by undersigned: as owner El statement til d
Undersigned attests that his State
of Califi a l)
is in full force and affect and properly authoores }his pp c ion.
San Jose City Business License # �7— 9
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 i C D�OLrLD/�.ilfiVT
ADDRESS ��a� �OLGic)� 4ELL �T'•
USE OF BUILDING 5/O G �9/U/L L/ Atr�P / t itiJG
FIRM Pyr ��� F f SIGNED
2 0-201n
1128 Rollingdell ct P&B
ITEMIZE THE FOLLOWING New Old
Outlets 19 Panels, Cabinets _Size Service ConduitCr
Switches _ Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch 160, _
Fixtures — �9 Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers .' KW Size Sub Feed Wires / 6
Ranges�— KW Heaters KW_�Z._Number of Circuits _
Signs Transformers MotorsNumber of Meters
Mi Era.c s ere Loads
P Phase Am Lighting Power
Miscellaneous
Rough Inspection By._YNI vN��
Final Inspection B
Remarks: iO— S— - ]_. �p�1 Lbw