50275 (2) 7577 Bollinger Rd. Building Permit Confirmed
Not Required ❑
CITY OF#,�6AN JOSE BUILDING/7 BEING DEPARTMENT
APPLICATION FOR
/f ELECTRICAL PERMIT �j' ,
Date---------------------/-f-/%.........-. 1911 permit Ncs-:.�. ojo - .-V -.....
The undersigned ". tn".f.
p'f ecirieal Inspector of the City of San Jose
fore permit to installr as listed on ,iho roversa side.
Exemption from reqalifornia for Contractors License is hereby claimed
by undersigned: sia}ef'e ❑
Undersigned atter+s'ihaf hilt to�7?f Calif
+ ce se
^� is in full force and e(facf and Gro e,14' thorize,� o^• .'/ —D///�
.San Jose City Business Li nse # ID
• I shall not employ
I certify that in the performance of the work for which this permi/is issued
any person in any manners to violafe the workm om enensation laws of California.
OWNER
ADDRESSUSE OF U DING
SIGNED
FIRM -20 n �j
7577 Bollinger Rd. 1H�11
ITEMIZE THE FOLLOWING13jrf b�j (Y4 ,-.j,,q New Old
Outlets Panels, Cabinets Size Service Conduit L
Switches Size Service Wires �}.�
Receptacles _(X/ _Panelboards Size Service Switch /o(/ _
Fixtures _Y Festoon Lamps Size Sub Feed Conduit
Mercury Lamps ///----Dryers _Z_ KW Size Sub Feed Wires
Ranges _/ KW Heaters KW Number of Circuits
g9��— Transformers Motors Number of Meters
HP Phase Ampere Loads —Lighting Power/—
Miscellaneous / —0—LightingRough Inspection By
Final Inspection �.77 By �.
Rema I$-'�"1 S G\,N , � 1.1
280-201n