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44666 1105 Elmsford Dr. BuildingConfirmed ❑/ Not Required CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ' The undersigned hereby makes application to the Electrical Inspector of the City of San Jose for a permit to install eJc�r}�e `' s / rr��/aS. i d on the reverse side. Esempfion from rnyrehr tufo rJff� f^r6 rfY`a f'Confrac{ors License is hereby claimed by undersigned: as owner ❑ statement filed ❑ Undersigned attests that hiz Sfefe o alifornia�yfI or'4_JXc�en # is in full force and affect and pr a f ori:as�{Nr�(� � 1'10 San Jose City Business License # I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to violate.th�men's compensation laws of California. OWNER 1 �ord� ADDRESS M6 ��� '��e USE OF BUILDING FIRM - Z�2 3 SIGNED \ w 2 0-201n 1105 Elmsford Dr. H.O. ITEMIZE THE FOLLOWING _ G New old Outlets Panels, Cabinets Size Service Conduit Switches Switchboards Size Service Wires Receptacles Panelboards Size Service Switch 00 'n Fixtures Festoon Lamps-Size Sub Feed Conduit �( Mercury Lamps Dryers KW Size Sub Feed Wires Ranges KW Heaters KW Number of Circuits _ f� Signs Transformers Motors --7(—Number,of Meters _ HP _ Phase Ampere Loadsighting Power M_scellaneoui A-C 3 Rough Inspection 7T� 6 Final Inspection V —7 y r Remarks: /--•-I/�7CQ ia�oati r , /�z�f p7 _� jcv 280-201n -cc n-9,