354267471 Bollinger Rd. Building Permit Confirmed
Not Required gq/r
CITY OF SAN JOSE BUILDING DEPART N c�S
APPLICATION FOR ELECTRICAL P�ERRM�IT/35-0 ' "_ r
Dafe---L/ .�?......-"'--...-------------- 19. r% Permit NJ 1....' :C'J.----------*---------
The undersigned hereby mak a pl'ca' c)ri alnli c}or of the City of San Jose
for a permit to ins}all elec}rica fix r ng as/Iefl Uhe reverse side.
Exemption from requireme la of iforn a or ontractor's License is hereby claimed
by undersigned:, as ow r ❑ s}e}errant filed ❑
Undersigned a}'osis that his State of alifornia Cont actor's License # ^2 Cp&.33/%
is in full force and effect and properly au} i his i n �'`f
San Jose City Business License # %�-'
I certify that in the performance of the work for which this permit is issued I shallnot employ
any person in any manner so as to violate the workmen'ss`compensation laws of California.
OWNER 1L;//,Yl
ADDRESS
USE OF BUILDING
FIRM/Y�/�Gy�� �S SIGNED/ G l ✓I�I��C'�i� �ti —
280-10
ITEMIZE THE FOLLOWING q New Old
Outlets Z Panels, Cabin fs'f(
Size Service Conduit
Switches ..2_ - 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 'KW Heaters KW
Number of Circuits
Signs Transformers Motors
_
Number of Meters
�/�
HP `2� `� �Y �% /� Phase Ampere Loads Power
Miscellaneous S im 906 /
._/_Lighting
Rough Inspection By
Final Inspections - 6— �-'�— %�p- By
'Y
Remarks: x,30- ��,�_ 4 / :1 -4i O'c'.se. ud-„7j F A A -e-
i...�s.
•'/q•A"�,.`—s..o+',1nv_-"�v�W
�4raQ�—