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HomeMy WebLinkAbout110 SYCAMORE AVE; ; 77-9604; PermitELECTRICAL PERMIT APPLICA"fl0N~
City of CARLSBAD, CALIFORNIA 92008 7 7 -tJ &OL/
Applicant ro complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS 5 ,/(! ~ Ji() r,u 'C' (_ I LOT NO. , I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL 1 DESCR, .~:~
OWNER
'ire
MAIL ADDRESS ZIP PHONE
2 WM // () ,:;,~/t." A l>s (J K.. ' L.,J , ) '1 ..) r o 1e •I, ,.
C°JACTOR MAIL ADDR{ss PHONE , T.::J"=').~, NO, CITY LIC. NO,
3 .. '/ /..) µ.I> ~"t'fl / It) / ,;/Ii-~ .)I;/ ) I Y</..9? ' J ' . ~ ...J • -ARCHITE'f OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5 ,,
COMP ENSATIO,NS/"'C ARRI ER L) J . MAIL ADDRESS BRANCH
6 · , l (. -
USE or BU ILDINt
7
8 Class of work: □NEW ~OOITION 0 ALTERATION 0 REPAIR
9 Describe work: to A /ti ,-r:; .S1>~11,~t_
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'rLICATION ACC£,TEO IV 'LANS CHECKEO av APPRO\IEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, /3 IC l ~ FUSE OR BREAKER kO ,;J:S -f.
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE 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 AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/) V TEMP. SERVICE OVER 200 AMP.
( ,/ /?i
PER 100
~ ' {.i-,
SIGNATURE Of CONTRACTOR OR ,._UTHORIZED AGENT !DATE>
I ISSUANCE FEE ex -
TOTAL FEES I I -s GNATURE OP·' OWNER IF OWNER BUI DER (DATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
REMARKS INSPECTOR
USE SPACI