HomeMy WebLinkAbout2649 OCEAN ST; ; 71-1074; Permit3ELECTRICAL PERMIT APPLICATION „,„
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OWNER \ MAIL ADDRESS ZIP PHONE TS^
CONTRACTOR A 1 __ MA\J. ADDRESS X PHONE LICENSE NO ^
ARCHITECT OR DESIGNER MAIL ADDRESS
ENGINEER MAIL ADDRESS
LENDER MAIL ADDRESS
PHONE LICENSE NO "^JJ
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USE OF BUJLDING • i If ^wl
8 Class of work D NEW D ADDITION J0ALTERATION D REPAIR
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SPECIAL CONDITIONS
'"' iAPPLICATI/N XCC^PTEDBY PLANS CHECKED BY APPROVED FoprrasuAefcE BY
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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 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 NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
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SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
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SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
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PERMIT FEES
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Total
LIGHTING Fixtures
FIXTURES
RANGES f<5LO DRYERy* WTR HTR
GARBAGE oTs"P STA' COOK TOP
DISH WASH CLOTHES WASH
SPACE HTR STA APPL >/z H P MAX
MOTORS H P
NO TRANS
NO LAMPS
TEMP POWER DPOLE DuNDGD
SERVICE 0 200A
201-400A
D NEW 401-600A
£<fcHANGE OVER 600A
PERMIT ISSUING FEE
TOTAL FEE
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT '
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PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
Form 100 3 969 REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • so so LOS ROBLES • PASADENA CALIFORNIA 91101
INSPECTION REPORTS
REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW UP', ETC