90046 7585 Holldhdgrry
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPART�Etff
APPLICATION FOR ELECTRICAL PERMIT
Date_-------3---V-.--�--------------- 14�.�.. Permit No..__--- ���- -----'------
Tho undersigned hereb as a li ati t t e EI ctr�cal s�ef)or of the City of San Jose
fora permit to install el tr' I fiat resf4�P'Xr (ring s I d + e reverse sido.
Exemption from requirFfi4-f ,�ta7e�6� { rdia o�ronfr ctor's License is hereby claimed
by undersigned: s owner ❑ statement filed
Undersigned aftesis that his State oi` ifor is Contractors License
is in full force and effect and properly I2 ri this
San Jose City Business License
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 viola c the or en's compensation laws of California.
OWNER
ADDRESS 7rrrs"
USE OF UILDING CC
FIRM � SIGNED_ zI L
FOR. 260-10 12/671 IOM [�f
7585 Hallanderry, Dodd j
ITEMIZE THE FOLLOWING New Old
1
Outlets ,} Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires Z
Receptacles .�_ _Panelboards Size Service Switch
Fixtures S Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW 4�• 5 Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection py C ?!J
Final Inspection p �— � � - 70 / By
Remarks: J
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