HomeMy WebLinkAbout1585 CHESTNUT AVE; ; 76-3601; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 ' Permit
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JOB ADDRESS • ' . * """ «
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LOT NO. BLK , TRACT-LEGAL . ( SEE ATTACHED SHEET)1 OESCR. . . ;' ' '
OWNER ".• . • MAIL ADDRESS /, Z IP- .. PHONE?AwTv\^f Hi^i^iayw /.tfftffij^MTW -nt-zf/?
CONTRACTOR M All ADDRESS •"" PHONE L 1 C ENS E N 0 . S T A T E CITY
ARCHITECT OR DESIGNER """" " MAIL ADDRESS PHONE LICENSE NO.
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ENGINEER MAIL ADDRESS PHONE '< LICENSE NO.
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, COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH Jk ^r\ Ifi
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USE OF BUILDING • /i A /\S ""I/' s.^n. .I/7 ,77 .• *»-\ » -—••• * *.^"' FI rr
8 Classofwprk: D NEW D ADDITION D ALTERATION B"fEPAIR f \ \f
9 Describe work:
SPECIAL CONDITIONS:
XV
APPLICATION ACCEPTED BY : PLANS CHECKED BY : APPROVED FOR ISSUANCE BY :
r.€0^f>9£
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
kC^i^Vv^x '' to-wOkSIGNATURE OP OWNER (IF OWNER BUILDER) V (DATE)
PERMIT FEES
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE,.SWITCH*
FUSE OR BREAKER fl s iJft
t 'KftfJ™
NEW SERVICE ON EXISTITO BLDG;
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
«— ^"-"REMODEL, ALTERATION, NO CriANG&5
IN SERVICE, FOR EA. AMPERE Op~j
INCREASE r
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
PERMIT FEE
No.
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1
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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
L/SE S/'xACf BELOW FOR NOTES, FOLLOW-UP, ETC.
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