60253 (2) 1172 ELMSFORD DR.
' Building Permit Confirmed (+�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
' 3 /AeF L--- 6 /- - ......
Date ------ -- ---- ---....--.... 1970- Permit No.....-----0�-
The undersigned hereby ekes appli aft }o qtri a Inspector of the City of San Jose
/ �/5555�
fora permit fo ins#all ale ri a f'"ur or r gi c on the reverse side.
Exemption from req r $fe of i ornw or onfracf.r', License is hereby claimed ��s
by undersigned: as owner ❑ statement filed C�1V
Undersigned a}teffe that his $Pere,Of California Contractor's License �f
is in full force and effect and proper n'nxes fhi I'
San Jose City Business License l/
~ I certify that in the performance of the work for which this permit is issued I shell not employ
any person in any manner so as to violate the workmen's com pensa#ion laws of California.
OWNER P/g�✓7K T A
ADDRESS
USE OF BUILDING
FIRM � < T�/ SIGNEDa
rzosry /
1172 ELMSFORD DR. P&B
ITEMIZE THE FOLLOWING New Old
Outlets 1` Panels, Cabinets Size ServiInd .Switches _ -/ Switchboards Size ServiReceptacles 7 Panelboards Size ServiADOµr/- I
Fixtures e2 Festoon Lamps Size Sub FitMercury LampsDryers KWSizeSub FRanges KW Heaters KW Number o -Signs Transformers Motors - Number�o�
HP Phase Ampere Loads 9 'f n Li hti
Miscellaneous Lighting— Power
Rough Inspection
Final Inspection .S/0 -7f
By
y
280-201N