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HomeMy WebLinkAbout264 CARLSBAD VILLAGE DR; ; 78-3093; PermitELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 • Applicant to complete numbered spaces only PhORG 729-1181 Permit No r\ f?t ">Vv ATTACHED SHEET) MAIL ADDRESS /ff. 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