96108 1180 Elmsford Dr
Building Permit Confirmed (sy
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
� �--ens
Date. - ...... - ----------- I ( Permit No. - -------------... -...........
Th nd ersigned hereby makes application to the Electrical Inspector of the City of San Jose
fore permit to install e i �)A. fisted on the reverse side.
Exemption from re it a or e o w r Cenlractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑�
Undersigned at!esis that his SCalif�f�nia Contractor's License $k
is in full force and effect and pro
San Jose City Business License ,r T
I certify that in the performance of the work for which this per t 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 BUIL ING C /7tiy/ (/riaL
FIRM SIGNED r�
1;80 Elmsford Dr T&F Const
ITEMIZE THE FOLLOWING. New Old
Outlets / Panels, Cabinets Size Service Conduit
Switches _ / Switchboards Size Service Wires
Recepfacles Panelboards Size Service Switch
Fixtures L___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 Lighting Power
Miscellaneous 14�7
Rough Inspection By
Final Inspection S'Z4,e /r By
Remarks:
oz-