49810 7536 HOLLANDERRY PLACE Building Permit Confirmed.E
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR /ELECTRICAL PERMIT
Date..----/� 1926����------------. 19Permit No.---Cl......1.. --1- ---------------
The undersigned hereby makes applica}io to } Elect 'cay Insp�cc of iho City of San Jose
fora permit to
install elac c u r g a is d /averse side.
Exemption from raqu om o rt a or o n a s License is hereby claimed
by undersigned: as wrier statement filed
filed 5•
Undersigned attests that his State of C life Contractor's Lic se _
is in full force and effect and properly .0 s - ap lice}'
San Jose City Business License #
I certify that in the performance of ih ark or which }his permit is issued 1 shall not employ
any person in any manner so as tocipllato the workmen's compensation laws of California.
OWNER --a-1
ADDRESS'S-3 at
USE OF BUILDING &280-201n
FIRM SIGNE
79' 6 HOLLANDERRYPLACE PACIFIC
l r Cmmc Int: FOLLOWING New Old
Outlets _� Panels, Cabinets Size Service Conduit ,
SwitchesAOL—
Switchboards Size Service Wires / '
Receptacles -2 Panelboards Size Service Switch �l�A
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 _a-CA Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection l b By
Remarks: '\'L-1Z -- SG\N ZM
280-201n