HomeMy WebLinkAbout1044 PALM AVE; ; 76-3405; Permit0 0 -• c••➔£'6•
ELECTRICAL PERMIT APPLICATION 70 _ 3165 City of CARLSBAD CALIFORNIA 92008 ' -j'_ -?#/4J~\-Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
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LOT NO, Im I T•AtT Qst:E. ATTACHED SHCl:T) LEUL I 1 ouc•.
OWNCllt MAIL ADDIIIE.SS ZI p PMONC
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CONTJIIA,CTOfl .;\-MAIL ADD.ESS \ PHON t LICCNSt NO, STATE CITY
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AIIICHITECT 0 111 DESIGH[III MAIL A00,.£SS PHONE LICENSE NO, -
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ENGINl.lft MAIL AODIIIESS PHONC LICENSE NO,
5
COMPENSATION INS CARRIER MAIL AOOIIIESS 9'1ANCH
6
US£ o, IUILDING
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION 9·-f!"EPAIR
9 Describe work: '/p UJ ~ ~ ,,,. /,/ ,<::: .c. ;~,,,-l,;t_.1.,p . ,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT ~. Jd
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY; PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
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FUSE OR BREAKER 1l> IO oc.:
/<.-,r D ATE NEW SERVICE ON EXISTING BLDG.
NOTICE
FOR EA. AMPERE OF INC:REASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE:f. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
...
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TEMP. SERVICE OVER 200 AMP.
l
. PER 100
alONATUll:ll 0~ CONTRACTOII OJI AUTHOflllZ.1.0 A.GI.NT (DATClf
PERMIT FEE I"). oo
......... T ,tr ni,-OWNU, ''" OWNlfl autLOI:" DA.Tit
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.