6954 5825 Bollinger Rd .—
Building Permit Confirmed ❑
Not Required tea,
.CITY OF SAN JOSE BUILDING DEPARTMENT
PLICATION FOR ELECTRICAL PERMIT
Date.-...1 A�2 3- Z-t�.. .. 19----- _ Permit No -------- ---- -F' L�------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fixtures and/or wiring as listed on the reverse side. -
Exemption from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ sta{amen{ filed El7 g
Undersigned attests that his State of California Contractor's Licenso #—/�ZsZ- L
is in full force and effect and properly authorizes this app/plication. /i
San Jose City Business License*# `7�Q-
I certify that in the perfo ante of the
work for which {hht/,r4 perm:{ is issued I hell not a ploy
any person in a�nyy�armor so {o violate the wor en's pensafion laws f ifornie.
OWNERIS�i 4{ z 1r
ADDRESS Y_
USE OF UILDING
FIRM
LI
280-10
5825 Bollinger Rd . Oree Electril
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit ~
Switches Switchboards Size .Service Wires Q /1Cly
Receptacles Panelboardz Size Service SwitchS�
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 :2� Number of 'Meters
HP -/-- 7��/-=- CJ_ Phase 3 Ampere Loads —g Lighting Power
Miscellaneous ¢oo
Rough Inspection By
Final Inspection _ I IA-1 J p By
Remarks: l�_zJO QQc�Q e6cl�cQ(�Z,
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