HomeMy WebLinkAbout2785 ROOSEVELT ST; ; 76-1817; PermitELECTRICAL PERMIT APPLICATION ~-~!:,.1v.*••~·••1.~o
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
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LEGAL 1 DESCR.
I LOT NO. I BLK. I TRACT (QSEE ATTACHED SHEET)
2~\.,. ,I ~\AJ°""d \ MAIL ADDRESS ~? ~ ~-• ~~e--PHONE
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MAIL A00RESS ~-t ( PHONE STATE LIC, NO. CITY L IC, NO.
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ARCHITECT 01 ~ESIGNER MAIL A00RESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMl'>ENSATION INS CARR IER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION MLTERATION 0 REPAIR
,
9 Describe work:
Lil.JV\ /,,,1.,t,J ~ {" (tvj: ~ { J 'A),,,.. < ~ cl • PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCEPTED BY 'LANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER I / __,1./ D ATE NEW SERVICE ON EXISTING BLOG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH , FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE!> GOVERNING THIS
INCREASE
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INCLUO· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAN CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
{__ ~ ~-~ TEMP. SERVICE OVER 200 AMP.
hft/;t PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (0ATE)
ISSUANCE FEE \...., l TOTAL FEES s IGNATURE nf' OWNER IF' OWNER BUI DER DATE
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
6--1? 7l, ;O~~~ ./d --. ✓----~ a_.~,/ ~d# ,
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.