3187 (2) 1144 Elmsford
' Building Permit Confirmed
` Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
--
Date-.. . - 192 0 Permit No..._---_ �.� O--rf-
� - ... -- -�� �� - -----------------
The undersigned hereby makes application to the Electrical Inspector of the City of San Jose
for a permit to install ele rij^,I/fi" ro d on the reverse side.
Esempfion from req�er�artf�f to f 'do i f r ontrector's License is hereby claimed
by undersigned: s owner ❑ statement filed ❑ (- 6 Y '
Undersigned atfests that his State of California Contractor's License #
is in full force and effect and proped�a hor^zes
San Jose City Business License
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any man er so as to violate the workmen's compensation laws of California.
OWNERer. a
ADDRESS &
USE OF BUILDING
FIRM SIGNED
200-10(10-69)
1144 Elmsford Elec. Service 9
ITEMIZE THE FOLLOWING New Old
Outlets 21
Panels, Cabinets Size Service Conduit ( y.
Switches Switchboards Size Service Wires _. .
Receptacles 3 Panelboards Size Service Switch
Fixtures ,;2 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
Miscellaneots
Rough Inspection _ —j/ 3 " 1-i By '
Final Inspection _� �q
Remarks: �o�d' By