50275 7565 Ballinger Rd. Building Permit Confirmed � t
Not Required ❑
CITY OF SAN JOSE y,y�� BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date - -- -- .. ..........//!a
/ - ..... 19.)l Permit No.---Q-
.... �(�:7 .-....
The undersigned hareke a plicaW06q
c ical ocfor of fha City of San Jose
for a permit to install'eledricex r i a o treverseside.
Exemption from requirement cfor's License is hereby claiby undersigned: as ownstafameni filed ❑
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authoria this application.
San Jose City Business License #
I certify that in the perfor nce of the wor ( r this r i s f employ
any person in any manner so o violafe t a compeme on ws o or a
r OWNER
ADDRESS
USE OF RLPILDING �(J
FIRM SIGNED 80- In
7565 Bollinger Rd. ';�' 7 Hill.
ITEMIZE THE FOLLOWING :350b t{ 6/3 0,_� V a J'�ew Old
Outleh Panels. Cabinets Size Service Conduit
Switches ----Switchboards Size Service Wires
Receptacles _ Panelboards Size Service Switch
Fixtures ���_Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers _/___ KW Size Sub Feed-Wires-
Ranges --,/—I KW Heaters KW Number of Circuits'
Signs Transformers Motors —5 Number of Meters
HP Phase Ampere Loads 17c Lighting Power,
Miscellaneous
Rough Inspection — 7—Q'11 By
Final Inspection By
�
Remarks: 1_z_.�p,:1"� S� \� . q_
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C 280-201n