11622 r
7530 Bollinger R7oad /
Building Permit Confirmed 0{1
Not Required ❑
CITY OF SAN JOSE ^BUILDING DEPART14ENT
APPLICATION FORELECTRICALELECTRICAL PERMIT
Date`s - - ..a. - 19.7 -. Permit No. 1��u- ............
The and r gned hereb makes a plica}ion fo the lc rival Ins a etor of the City of San Jose
for a permit }o install c r' al ix wi ' s ' +e n he reverse side.
Exemption from r n + ' rn' or rector's License is hereby claimed
by undersigned: s owner sfa}emen+ {filed ❑
Undersigned a+tests +ha+ his to of California Cor rac+or's License
is in full force and effect and pro erly orixe�lhis ,plJ'aGa}i1
San Jose City Business Licen Lr/•rr //_�� �
I certify that in the perfor ce o +he work or which this permit is ;,sued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER x�
ADDRESS 4
r
USE OF BUILDING e
FIRM ���• SIGNED
280-10,
7530 Bollinger Road ALD Electric �-/I/
ITEMIZE THE FOLLOWING New Old
Outlets - S Panels, Cabinets Size Service Conduit
Switches � Switchboards Size Service Wires 4--
Receptacles
V
Receptacles' �--s Panelboards .Size Service Switch
Fixtures __J Festoon Lamps Size Sub Feed Conduit
Mercury Lamps .Dryers KW $i:e Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Moturs Number of Meters
HP Phase—Ampere Loadsl Q,
_Lighting Power
Miscellaneous
Rough Inspection p`2G-7/ pyl,„
Final Inspection `'l'—�D �� By
Remarks: