50275 (2) 7585 Bollinger Rd. CTn 57C2— Building Permit Confirmed ♦`T e—
QNot Required ❑
CITY OF SAN JOSE �J BU NG DEPARTMENT
APPLICATION FOR ELECTRICAL. PERMIT
/J'! — �` -----------------
Date......................... . . .. ......... 19-------. Permit No.-- - - -
--
The undersigned ned eby makes appl'.cat'on fo the Electrical Inspector of the City of San Jose
for a permit to install a ri I n�as��+(is n the reverse side.
Exemption from r qu'a if r'Y'�" actor's License is hereby claim
by undersigned: s owne ❑ is Livens filed ° d (/
Undersigned attests that his $}a{e of California Contractor's License 1l Os/ `� (�
is in full force and effect and prop ly ,the izes this applicati n. /
San Jose City Business License # CO
V
I certify that in the performance f a o for ' h ' it is iss shell not employ
zany person in any manner so s to ri ate the workm 's co pensation ws of California.
OWNER cc`
ADDRESS �AJ
USE OF BUI DING
FIRM SIGNED
80-20 .n
/7585 Bellinger I Hill
ITEMIZE THE FOLLOWING 4,38 V3 -ke% Q'-"New Old
Outlets / Panels, Cabinets Size Service Conduit I h,
Switches�5wifchboards Size Service Wires
Recap+acles L Panelboards Size Service Switch ��"'Q
Fixtures _LI Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers L KW Size Sub Feed Wires
_ Ranges —/ KW Heaters KW Number of Circuits
Signs Transformers Motors Number of Meters ,
HP Phase Ampere Loads _Z�Lighting Power
r
Miscellaneous
Rough Inspection "G =� By
Final Inspection B
Remarks: y
Y-�q,nryC�&-
0 280-261n