5605 1181 Elmsford Ct. /
- Building Permit Confirmed,Q-
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.....7/361------------------------------- 19Y.Q-- Permit No.------- 474-o'S.. -----------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install el +/ric I ix r /,�,[( rywirl'p9- ./iS'nsted on the reverse side.
Exemption from r uir6��foj�1�—p*�Ca{t{�jli�i fo/r Con}rector's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his Sfat of California Contractor's License #—t�4
is in full force and effect and prop _horil Zes } pfsyp+
San Jose Cit Business License T10
I certify that in the performance 04 the work for 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 Saha
ADDRESS Oq I
USE OF BUILDING
CDN ELECTRIC SIGN
FIRM 771 I A
280-I0110-0) lose, Calif. 95124
PH. 266.1722 Covin ton E17c
1181 Elmsford Ct: S
ITEMIZE THE FOLLOWING New Old
S
Outlets Panels, Cabinets Size Service Conduit'
14,
Switches T Swifchboards Size Service Wires
Receptacles 15� Panelboards Size Service Switch OD Q,
Fixtures Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires"
Ranges KW Heaters KW—' Number of Circuits / Z
Signs Transformers Motors Number of Meters
HP Phase Ampere Loads Lighting Power
Miscellaneous
Rough Inspection _ r�-S -7 By ��'
Final Inspection ��-�-1�/ By
y