68406 (2) 6790 Bollinger Rd.
Building Permit Cenfirme.0,@�w
Not Required ❑
CITY OF SAID JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT L�
-------Z�1..........- - 197/... Perrni#'No-----------��-.2-..L..--------------------
The undersigned hereby makes application to the EleFfrical Inspector of the City of San Jose
for a permit 4o install electricif fixtures and/or wiring as lisfed n the reverse side.
Exemption from requiram } r S} o for r�Ca it cfor's License is hereby claimed
by undersigned: t s ment filed ❑
Undersigned attests iha} his Stafa California Conirec}or's License # / /J
is in full force and effect and properly uthori:es this application.
San Jose City Business License #
I certify that in the performance of ih or ar wh ^i is p 4 i{'s I shall not employ
any person in any manner so as to violate i e men' ns n s f California.
OWNER - &6;be-A
ADDRESS 6; 7 Z2 /S6F,1211 /l L) '
USE OF BUILDING I ff
FIRM �T!`s xee—ZW3 C-W7- SIGNED e: c� cicrZP �
280-201N / q
6790. $911inger Rd. r9.2/-7S Marotta VI//
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches ___Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch '
Fixtures --A1P?M1e_:' 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 Phase . Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection 6y 09
Remarks: L��yr --'� p S•�i�l/� - .,
280-201N