47713 1120 Rollingdell Ct _ /
Building Perini} Confirmed
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? CITY OF SAN J E lei : BUSING DEPARTMENT
1cc A LIICATION FOR ELECTRICAL /PERMIT
Date--41 - ---`- -------------- 19'?% Permit No ...l--�!� ?- ..--_.... ..
The undersigned her makes a H }io to fhe Electrical nspector of the City of San Jose
for a permit to install act ' a fi r rm s n the reverse side.
Exemption from r r 5 o ali( i or onirector's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Cali( is Contractor's License # � ¢ ��
is in full force and affect and properly autho' a s applic /��'�/✓
San Jose City Business License
I certify that in the performance of the work for which this permit is issueif I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER %C 6 EVE`f06 All.e 7
ADDRESS //ao /2oGG� c9G Il EGG GST
USE OF BUILDING
FIRM ` � t cj SIG
) D�=��-2
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1120 Rollingdell P&B r
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ITEMIZE THE FOLLOWING New Old
Outlets 19 Panels, Cabinets —J_Size Service Conduit 6' r
Switches .31 Switchboards Size Service Wires
Receptacles -4(:5 __panelboards Size Service Switch f��
Fixtures __�� Fesfoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers I__ KW _Size Sub Feed Wires d
Z2
t1-�rt�v� q
Ranges 2 KW Hedfers KW�4._.Number of Circuits
Signs Transformers Motors �Number of Meters
HP Frei e ;�)rno;I Phase s d
oa
L �/
—Ampere ��v Lighting Power
Miscellaneous
Rough Inspection _ — Q1-I(.
Final Inspection Na- a-1 By�V`M^ •`^y 'c`z`
Remarks: — 3 p
ti\IAVMy;. �, � .-�� -'"`^C• 1 ��.•. ~��� VY,/y:,,.:• �v,.a.�8��'(�n ,J
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