472811112 Rollingdell Ct. Building Permit Confirmed 0
Not Required ❑
CITY OF SAN JOSE _Q4WING DEPART,
APPLICATION FOR ELECTRICAL PERMIT
/ � e!a y 7 2& I
Date --� !��- -- --- ---- --- - 19--%L Permit No. — -- - - --- ---------------- -
The tun her y makes application }0 the Electrical I etfor of the City of San Jose
fora permit to instal e c r wi' rr aha reverse side.
Exemption from r e or o or o rector's License is hereby claimed
by undersigned: as owner ❑ %s,-.- statement filed
Undersigned attests, that his State f California Contractor's License # •�—�()
is in full force and effect and properI a t razes this _ i Iii4sv,/
San Jose City Business License —7 i�
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 TG JF-JF-AOO/ 6A)
ADDRE!
USE OF
FIRM 1
280-10 (9-73)
11112 Rollingdell Ct. P & B Elect.
ITEMIZE THE FOLLOWING ZZ44 New Old,
Outlets Panels, Cabinets Size Service Conduit a:
Switches Switchboards Size Service Wires
Receptacles /�Panelboards Size Service Switch IeOg
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 3 Number of Meters
HP -'�Z f'xCj Phase Ampere Loads C2-:> Lighting Power
Miscellaneous
Rough Inspection aN --1-3 By `WW1. a�wv
Final Inspection _ ��—lb 1�� B
Remarks: �I X14 1 V S�-C- 0, �— Z3 =1 e