40574 (2) 7476 BOLLINGER RD. /
Building Permit Confirme ile
Not Required ❑
CITY OF SAN JOSE _ BUILDING DEPARTMENT
/APPLICATION FOR ELECTRICArPERM/I�Tt..
Date -------6---------------- 19.�f.��-.�. Permit No-------------7.(1..x.1.7-1-------------
The undersigned hereby ma appl'c 'o to re 4r' al jwsp�c}or of the City of Sen Jose
for a permit io install
electric fi ur r i o /the reverse side.
Exemption from requireme or a of California for Contractor's License is hereby claimed
by undersigned: as o or
❑ statement Filed ❑
Undersigned a}fes}s thaf his Stile of California Contractor's License # C-10 a7Ve17
is in Full force and affect and 'pr /f rises i ppI' io v
San Jose City Business Licenser' �e ��/`'
1 certify that in }he performanKc;� of he work for which this pp is issued 1 shall not employ
any person in any manner
/soo as to violate the workmen's compensation laws of California.
OWNER
ADDRESS 74171 i�&Mwgo�C c oA 1
_ -USE-OF BUILDINGSIN�h�{/-
FIRM T A &C7&C SIGNED
280-10 (9-73)
7476 BOLLINGER RD. T.A.. BAILEY ELECT.
ITEMIZE THE FOLLOWING New Old
Outlets ' Panels, Cabinets Size Service Conduit /��`Y,
Switches Switchboards Size Service Wires .�2A/u.1
Receptacles 33 Panelboards Size Service Switch OONW�
Fixtures 3 "P Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _ _
Signs Transformers Motors :/b? Number
pooff Meters _
HP Phase Ampere Loads ._/ 7 Lighting Power
Miscellaneous p �+
Rough Inspection By (/
Final Inspection �i�-�U..;7L5— By
9 Cdr -�t4p a.^wq�cdle.
�� ti"-y. •=GGA, /�/4.... / a -,�� -/73-CU -`r�tQ w�P;
Lf��-D•• /amu i '/",-'A� 'f'��{• �i(f��.� µ/,�y��K¢✓p�/.�-"