30066 1158 Scotland Drive
Building Permit Confiirm$&I
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
66
Date---------------------------------l.L�7 ..S 19..7�ermit No.---/5%0 - - ...-
The mit f Inst l act makes ap +ion + ElectricalInspector the City of 5an Jose
{ore permit io install electrical fist
s o f e e side.
Exemption from requirement for a+ i o r ct r ense is herebyclaimed
by undersigned: as owner statement filed ❑
JUndersigned attests that his State of California Con#ra ors License #23;2470
9 is in full force and effect and properly a(uJ},h^ori=a +his
r San Jose City Business License
r I certify that in the performance of the work for which this permit is issued I she I�ot employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER CdnJ
t ` ADDRESS Ccs
USE OF BUILDING �%� I Z47
`
FIR M,p�__<--k CZ !C SIGNED &ZXr
290-10 (9-73)
� 1158 Scotland Drive
A
ITEMIZE THE FOLLOWING New Old
Outlets l Panels, Cabinets Size Service Conduit
Switches 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 ,,//Transfor ,ers Motors ? Number of ((M��eters
HP r��>/�^^'��� PhaZZ�._Ampere LoadsQ_�___Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection
/ D_ 0 p //' ( �I�-7C4 By K,
Remarks:7g..1'F VV�r'a,W-�.� •`^�`"-r� u� �16'sC�"'`.q Y'.'t�W..u.��Qt�..
.12.E 00111.7 �Cu