68407 (2) 6790 Bollinger RD.
Building Permit Confirmed ffr
Not Required ❑
CITY OF SAN JOSE ' BU�I DING DEPARTMEUT-
APPLICATION FOR ELECTRICAL PERMIT
Date.... L` ....... .... 19.Zr/ Perm if No.-----------L-J--f .:..--7--------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrical fid r d/ w'ri. as I*d on the reverse side.
Exemption ne from require +�r� fbr t o al o { C n.f.ment License is hereby claimed
by undersigned: '�/A—/Ik� fefemen} filed ❑
Undersigned a#tests +ha his a 'of C Own.. on#rector's License #
is in full force and effect and prop ly authorizes this application.
San Jose City Business License Ven%
certify #hat in +ha performance of the kWkW
Whalln,...t employany person in any manner so as +o viola}e th .
OWNER
ADDRESS C 7
USE OF BUILDING /
.FIRM ll7/-/A 1�67/A LOvJYSIGNED/
r . 280-201N (/J
/ 4C / ( I
6,720- B-qll.rigex Ra. M? qtt�
ITEMIZE THE FOLLOWING New Old
Outlets__ �' 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 KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of Meters '
HP Phase Ampere Loads Lighfing Power
Miscellaneous x �/�, �Q( �F�
Rough Inspection 9 Zv ' 7 q B JL V.Y
Final Inspection _ G-'Gg'-7-� By
Remarks: Y'l'l-I7 756"N
�' 280-201 N