HomeMy WebLinkAbout1200 CARLSBAD VILLAGE DR; ; 73-1235; PermitELECTRICAL PERMIT APPLICATION
penmt NO ' CARLSBAD' CALIFORNIA 92008
Applicant to complete numbered spaces only PhORG 729-1 1 81
~oCD
JOB ADDR ESS
LESAL
DESCR ATTACHED SHEET)
MAIL ADDBESS
CONTRACTOR MAIL ADDRESS
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
MAIL ADDRESS
USE OF BUILDING
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work
SPECIAL CONDITIONS
PERMIT FEES
ISSUANCE OF EACH PERMIT
No Each Fee
r2.
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
N EW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK )SSUSPENDED OH ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
NEW SERVICE ON EXISTING BLDG
FOR EA AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA AMPERE OF
INCREASE
TEMP SERVICE UP TO AND INCLUD-
ING 200 AMP
f /// / /
TEMP SERVICE OVER 200 AMP
PER 100
SIGNATURE OF caNTgACTOIt OH AUTHORIZED AGENT
MINIMUM PERMIT FEE
SIGNATURE OF QWNEH (IF OWNER BUILDER)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM
-
,
REMARKS INSPECTOR
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