HomeMy WebLinkAbout1375 BUENA VISTA WAY; ; 79-781; PermitELECTRICAL PERMIT APPLICAT40N:i-.i
UfLlCATlON ACCEPTED BY CLANS CHECKED BY
City af CARLSBAD, CALIFORNIA 92008
Applicun t to complete numbered spaces only. *- Phone 729-1181 Permit No.
JOB ADDRESS I.
APPROVED FOR ISSUANCE BY
- - - . - - - - -
IS
LOT NO. BLK. TRACT LEGAL (OSEE ATTACHED SHEET) I DESCR.
I I I
OWNER MAIL ADDRESS -~- ZIP PHONE a \33.1- \.< %-<* \Et, L‘i.
MAIL ADDRESS PHONE STATE LlC. NO. CITY LIC. NO.
1 b,\ cc 1.7 526- .<ti-- ’ kj Ikrc .- L.. -L3 ..:< -1 ’r *--? t* I,,.+- , I ~-cg - 5’7 1. 1 M-~L 43sa 3
CONTRACTOR
LICENSE NO. MAIL ADDRESS PHONE ARCHITECT ok DESIGNER 1
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i
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS CAQRIER MAIL ADDRESS BRANCH
~~ ~~ USE OF BUILDING
1
B Classofwork: DNEW UADDlTlON TEAATION 0 REPAIR
/
PECl AL CONDITIONS:
‘I-
SJdN4TUffE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) i
j
SIGHATURE Of 0 WNER (IF OWNER BUILDER) (DATE)
PERMIT FEI
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH AMPERES OF’MAIN SERVICE, SWITCH, FUSE OR BREAKER
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
ISSUANCE FEE
TOTAL FEES
I
T
t
1. ‘; t
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. cAsn
INSPECTOR