55072 (2) 7577 BOLLINGER RD. Building Permit Confirmed,❑
No# Required ' ' 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT �7
Date....Z..G.-..�Z-ea.�.------------------. 19.77. Permit No--------------J..J...D..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.
Exemp+ion from requirement for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned a}fes + hi + aR r #or's License
is in full force and e d if icafion.
f San Jose G+y B loess Li nse # 1—
Icertify that in the perf rmanca of i ork for h' r it shall not employ
any person m any manner so as to i work n n ti s California.
OWNER
ADDRESS 7-S77
USE OFF BUILDING
FIRM S SIGNE `x
Lao-201 N
r• 7
7577 BOLLI,NGER RD. PUBON CONST.
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch �Oo
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 Lighting Power
Miscellaneous
Rough Inspection g� /
Final Inspection �-8- 7 ,
Remarks: By,
• 280-201 N