HomeMy WebLinkAbout264 CARLSBAD VILLAGE DR; ; 78-3093; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
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Applicant to complete numbered spaces only PhORG 729-1181 Permit No
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ATTACHED SHEET)
MAIL ADDRESS
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CONTRACTOR MAIL ADDRESS STATE LIC NO CITY LIC NO
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 Class of work EW ^ADDITION D ALTERATION D REPAIR
9 Describe work
SPECIAL CONDITIONS
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No Each Fee
APPLICATION ACCEPTED BV PLANS CHECKED BY
7f
APPROVED FOR ISSUANCE BV
NEW 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 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION 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 NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION 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
TEMP SERVICE OVER 200 AMP
PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)ISSUANCE FEE
TOTAL FEESSIGNATURE OF OWNEE.1_IF._QWNED 3UILDEB)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR