44113 1142 SCOTLAND DRIVE
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date- MdAl----- -----------------------------_ 19-2Permit No...----� 1l�
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install electrics i ur 'riQq,YY99s�•I'sJi � the reverse side.
Exemption from requireme to '�rsiS�gzcfor's License is hereby claimed
by undersigned: as nar '& statement filed ❑
Undersigned attests that his Stateof California C nfractor's License #
is in full force and effect and properly aufhor..es fhis
San Jose City Business License # s..5�
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 workmen's compensation laws of California.
OWNER
ADDRESS
t USE OF BUILDING
FIRM ��— yi 7 SIGNED ?' �✓
• ( 280-201n�
1142 SCOTLAND DhVE H.O.
ITEMIZE THE FOLLOWING New Old
Outlets z Panels, Cabinets Size Service Conduit
Switches "Z' Switchboards Size Service Wires
Receptacles Panelboardz Size Service Switch 700
Fixtures Z Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heafers KW Number of Circuits _
Signs Transformers Motors Number of Meters
HP Phase —'Ampere Loads Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection '-3 7 B s
Remarks: S 1/74 ""Au rK10 �„� fy�GJ
w��r0! �Ttg '1o2sa�—v+ l�