502757561 Bollinger Fid. Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE ���//7� jyRQjNG DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT _-
1/ ................. 19..1/./. Permit No: s
The undersigned eraby makes ap lic ion o the E ctr a^}pector of the City of San Jose
fore permit to insfa el n 6 f wi the reverse side.
Exemption from re 1 o ie or ��onfrecfor's License is hereby claimed
by undersigned: ow nor ❑ statement filed 4j/13{iJ—
Undersigned attests that his State f California Confr*.c/n.
's License Q{'
is in full force and effect and properly u izes fl, p —OSan Jose City Business Licensecertify that in the performance of the work {or whichpermi is issued I shall not employ
t any person in any manner so as� violafe theworkme� mpePsetion laws of California.
OWNER _
ADDRESS
' USE OF
7561 Bollinger Rd. 4L{. 7'_ 7" 7 Hill +
ITEMIZE THE POLLOWING,�!j-431li�o k1 G/7"0 -l' k"r% New Old
Outlets
Panels, Cabinets Size Service Conduit
Switches,
j=
GG
Switchboards Size Service Wires C
le,
Panelboards Size Service Switch
Fixtures _�
Fesfoon Lamps Size Sub Feed Conduit
Mercury Lamps
Dryers L KW Size Sub Feed Wires
Ranges _/ KW
_
Heaters KW Number of Circuits _
Signs Transformers
Motors __Number of Meters_
HP
Phase Ampere Loads Lighting
Rough Inspection By
Final InspectionBY
Remarks: \— ?-�= —) �
i
Power
280-201n