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30917 1158 Scotland Dr. Building Permit Confirmed ❑ (/ Not Required CITY OF SAN JOSE 8-� ��1 BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT'--Z U , Date. .ver...... .. 11.zy_--------- 19------- Permit No. ...................... The undersigned hereby makes application to the Electrical In for of the City of San Jose for a permit to install electrical , r s / e, reverse side. Exemption from roquireme t f ( o cfor's License is hereby claimed by undersigned: as .?nor ❑ statement filed 7 y 7A Undersigned attests that his S}a a of Calif is Contractor's License is in full force and effect and properly authorise 'aplic io �r— San Jose City Business License # 1 certify that in the performance of the work for which this permit is i's ed I shall not employ any person in any manner manner so as to violate the workmen's'compensation laws of California. OWNER 61- 151/ Nl(9dA,"5iIN ADDRESS //s5-�1 96412 USE OF BUILDING s FI RIA, /L�l3a/� '©LSEN �itC SIGNED/ 280-10(10.69) 458 Scotland Dr. Johnson-Olsen ITEMIZE THE FOLLOWING New Old Outlets -Panels, Cabinets Size Service Conduit re ry Switches Switchboards Size Service Wires 67- Receptacles Panel boards Size Service Switch Fixtures 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 Lighfing Power Miscellaneous 6'0N - .: 5'( y�CC Td UN D/ 7�Ft7n t/ /G?sD Rough Inspection By Final Inspection By 60 p Remarks:-1.2',c1d)7',$)eAd U.6,E� 0.00.6¢ b--- 8-13