97051 1123 Elmsford Drive Building Permit Confirmed
Not Required '
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
T.Sg7- 71-9
Date..----- �j
�ff.c:7.--------...---------. 19-6-? Permit No-----------.1.... 0S--- -.....---
The undersigned hereb m kes I' ti t the Electric I Inspector of the City of San Jose
fore permit }o ins}all el }r' i' o y' si d on the reverse side.
Exemption from req ' men or Sate o ,Morn" ia`o Contractor's License is hereby claimed
by undersigned: ' a�-owner, A/ statement filed ❑
Undersigned a"esfs that his �fafio/of Celif - ys/gCf s�L nse
is in full force and effect and p r utho xu is p it
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 the v.rkmen's compensation laws of California.
OWNERa ^?(
ADDRESS �12- A/o DQ
USE OF BUILDING Q
FIRM SIGNED �l
zeo-so
L123 Elmsford Drive Donald Smiley
ITEMIZE THE FOLLOWING New old
Outlets :t- 'Panels, Cabinets Size Service Conduit /
Switches f / Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch
Fixtures '�t Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors _� Z Number of Meters
HP
7 Phase—Ampere Loads Lighting Power
MiscellaneousCNS
r
Rough Inspection _ —`G9
By—
Final Inspection %jam/„•('-��J By
Remarks:—//.Gn/ ��
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