37409 1174 ELMSFORD DR.
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILD NG DEPARTMENT ,
APPLICATION FOR ELECTRICAL PERMIT S
cn Date-_GL'...�-`-�.L'_y-- - 19 7_ Permit No....�.23....0.9.............
T - --------- ---..
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 req uireme fa f C �d_ �6.r pen}rations License is hereby claimed
by undersigned: a lV/ statement filed ❑
4 Undersigned atfesfs that h' State of California Contractor's License
`
is in full force and effect and properly authorizes this a li io _
San Jose Ciiy Business License �������
I certify that in he performance oft won {or 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 ��JT'N�'✓ /� cC���O -
ADDRESS
iiuns%�� Lidc
USE OF BUILDING
GL iiG� .
((`` � �' SIGNED
L FIRM —
B 280-10 Q
1174 ELMSFORD DR. H.O. /
I
ITEMIZE THE FOLLOWING New Old
Outlets `7l Panels, Cabinets Size Service Conduit
Switches 7 Switchboards Size Service Wires
Receptacles �� _Panelboards Size Service Switch
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^"n.Lighting Power '_)
Miscellaneous - I
Rough Inspection D oC
y
Final Inspection B /
Remarks: 7 23 - y -
J2�