HomeMy WebLinkAbout2848 JEFFERSON ST; ; 76-1704; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhORC 729-1181 Permit No 7tf- -/ /v /
MTRACTOR /MAIL ADDRESS »1 *STATE LIC NO•CITY LIC NO
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ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
STATION INS CARRIER~~'MAIL ADDRESS
USE OF BUlTiDING*UlTiDING* * t
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8 Class of work D NEW D ADDITION [^ALTERATION D REPAIR
9 Descnbework
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SPECIAL CONDITIONS
PERMIT FEES
SWIMMING POOL WIRING
NO INCREASE IN SERVICE
No Each Fee
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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 APERIOD 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 SPECIFIEDHEREIN 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 &3
REMODEL ALTERATION NO CHANGE
IN SERVICE FOR EA AMPERt OF
INCREASE
TEMP SERVICE UP TO AND INCLUD
ING 200 AMP
TEMP SERVICE OVER 200 AMP
PER 100
SISNATUREfOF CONTRACTOR OR AUTHORIZED AGENT (DATE)
,\ fa> £
ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)(DATE)
TOTAL FEES QQ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
INSPECTION REPORTS
DATE STEM REMARKS INSPECTOR
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L/SE SP/4CE BELOW FOR NOTES FOLLOW UP ETC