48693 ,1136 Elmsford Dr.
Building Permit Confirmadye"�
Not Required ❑
CITY OF SAN JOSE �D-1 �, B L ING DEPARTMENT_
^ �jAPPLICATION FORK ELECTR AL PERMIT
Date/o..nz: ---------------------------- IY�.--. Permit No.----"C/- 7 --
The undersigned here makes ap lication to!he Ele rical Inspector of the City of San Jose
fora permit to install a rj,j��r�L/�'��•i r s is4ed on the reverse side.
Exemption from r tlir�e�7 for S a nia or Contractor's License is hereby claimed
by undersigned: as owner ❑ statement fil¢ ❑ gy 6
Undersigned attests that his State �Iornij ra r' icon a �a ZD 7)!
T is in full force and affect and proper 'sC/ fe
San Jose City Business License #
s I certify that in the performance of the work far which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING
FIRM���?��<< ,{fGICT SIGNED
280-10(9-73)
1136 Elmsford Dr. Farris Elect.
ITEMIZE THE FOLLOWING New Old
Outlets Panels, Cabinets Size Service Conduit
Switches $witchboards Size Service Wires
Receptacles Panelboards Size Service Switch _��� 00
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KWNumber of Circuits _
Signs Transformers - Motors Number of Me ers
HP Phase Ampere Loads Lighting Power
Miscellaneous `J/y/ Co�-
Rough Inspection -1 G By —+V1,-w
Final Inspection _ p�—\��y,� By
Remarks:l`— q