HomeMy WebLinkAbout2598 STATE ST; ; 71-250; Permit•
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5PAIO ** :f ·~ 7/-"2-5t> City of CARLSBAD, CALIFORNIA MhR 19·71 *** .9 -cc10Jtt " 0
~ " Applicant to complete numbered spaces only. ., ~ JOBADDN~.? q e ,c~n5?U///( r,
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ELECTRICAL PERMIT APPLICATION
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I LOT NO. ,..,. n,. t\ C I TOACT ,_ "" LEGAL
,. 51Je ·w(>. ..... d <DSEE ATTACHED SHEET) 1 DUCN, 1 ~ 1 . 17 ..... >-'"'"" ~ ~
201J~d-1s ~ b,,,d-SA oP
MAI L ADDRESS
J-f-o+P ZIP PMONl '} l "\ ,..i C. :J s:1 ~, : -9 -/ u <..) ._ I O I --1 -,__ I~ CONTNAC TOft f V MAIL ADDRESS ' PHONt
Ll~~~~hs"~ ~ 3 ('J('P/211.. r;-,JP E /.p,,...fy,,,e... , I wt 711.-&iF< f ~ -S COvt (' I') r'---3'l._ I
AftCHITECT Oft DESIGNI.A MAIL ADDAESS PHONE LICE~
4 <T\l o r1 -e.. ~ :Q
IENGINEEJII MAIL ADDRESS PHONE LICE.NS[ NO. l-, I
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LENDER MAIL ADOflUSS !IIIIANCH -?
6 <'~b l ~e_➔. Sh e,P ~ .... ...
USIE 0 ,. BUILDING . )-
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(' I , b ' Ill 12-+. ~ ~ o? 0 V)
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8 Class of work: □NEW ~DITION 0 ALTERATION 0 REPAIR ~
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9 Describe work: Rt' 1~ ("t? ~ E..Y, ~-1/J, ~ ;2oo ;:;.~_J), )p,,. 11,ee. cl.$" ~ 1PM tf>tf'v,/.
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Sevv'1l.eo.,,. ~/Jr') AM ?. ~ PJ(J c:P /rh1re ff'rn.11>1~t.
;I PERMIT FEES
~ f'>V II IC e..,. No. Each Fee
SPECIAL CONDITIONS: Total RECEPTACLE flD ...
Outlets
LIGHT olO
SWITCH /l).. KO·
~ 2(ZJ/!MfJCf?!_ "n " 14..
-or.rr --;J.7 l3c LIGHTING Fixtures
APPLICATION ACCEPTED BY: PLANS CHECKED BY
~BY.
FIXTURES
1 :2.D·
RANGES CLO.DRYER WTR. HTR. ' , x
NOTICE GARBAGE OISP. STA. COOK TOP r ,.'!,, ', .... ~ l'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DISH. WASH. CLOTHES WASH. 1'-.. ()" I TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. STA. APPL. 1/2 H.P. MAX. . " CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. /-~A'51 (53) /~ 'G I .::,0 ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED I 1#.-{} ·I ~) 3'. ,., IPj' ~~ HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE NO. TRANS. --.
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LA_b1PS
TEMP. POWER _Jt'.f POLE LJUNOGO. -a
SERVICE 0·200A
~ .. 9-J/0-,1~ I /;3 /7r
201·400A
, _,,_ 8NEW 401·600A
SIGNATUfllE OP' CONTlltACTOIIIVl'II AUTHOfllZl:0 AGENT (DATE)/ D CHANGE OVER 600A f?'~.:,T,. !') /tv UG !1. J 'A'.
PERMIT ISSUING FEE $ ~ on
•t~L• T 11tr OP' OWN[fl 1, OWNUI I UILOlfl DATE) TOTAL FEE $ /"""' IOl -WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ' .....
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.3 9·69 IIIC0flDE.fl P'III0M: IN TERNA TION A L CON FER£ NC£ OF B U I LOING OFFICIALS e eo so. LOS "0IILE.5 e PASADENA, CALIP'0 .. NIA 91 101