608177561 BOLLINGER
(Snsn) POOL
Building Permitfirmed C�
Not Required ❑
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPPPLICATION
FOR EELECTRICAL PERMIT .420J9,-
Date---------....---_
Vq
..19/D. Permit No. ---------_./[��G�E
The undersigned hereby mukas ~application
to the trycal I for of the City of San Jose
t revorse side.
for a permit to install elecfri f, to s
r s e
i n or's License is hereby claimed
Exemption from requir
by undersigned: as o
a
er ❑ statement filed ef' „
��((''77
Undersigned attests that his St a
of California Contractor's License # C�
is in full force and effect and prope
a r' as t i a ./ r
San Jose City Business License
I certify that in the performance of
/� Y
a work for which this parmi}�s issued I shell not employ
any person in any manner so as to violate
the workmen's compensation laws of California.
OWNER
ADDRESS "r
USE OF BUILDING
FIRM ��� S SIGNED
(�l4'� s, Gvru�Et�sr>✓le ager
01n
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets _Size Service Conduit
Switch" Switchboards Size Service Wires
Receptacles _ Panelboards Size Service Switch
Fixtures _Festoon Lam z
p Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits t
Signs Transformers
Motors Number of Meters
HP _ '/7 Phase Am ere Loads 77,51ighting Power
Rough Inspection By
Final Inspection / /, _, f" B
Remarks: S -x_78 -i. / Y -