HomeMy WebLinkAbout2787 STATE ST; ; 78-3865; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 p erm1 . i t.t.1'/1 ;J -JOB ADDRESS
Z787 .:.tate ;,t . '••
LEGAL 1 DESCR.
I LOT NO. 1"LK, r TRACT (OSEE ,HTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
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CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO,
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t 1
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADD!},'SS ( J./ BRANCH
6 .D \;lell.&l ~""'" ·-~.;... Cu. !' ~· I J
USE Of BUILDING I f
7
8 Class of work: □NEW 0 ADDITION ~ALTERATION 0 REPAIR
9 Describe work: .a&litlm o£ ,;,, ~. =---:. tor ,azd eqaipalllt
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'f'LICATION ACCEPTED av PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
' !£1 I ) I 100 .25 ~ ~
'J ' DATE NEW SERVICE ON EXISTING BLDG.
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE AND 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.
~:{ l!Jr· -;z;_, TEMP. SERVICE OVER 200 AMP.
PER 100
(G/1~[18}
SIGNATURE Of' CONTRACTOR V UTHORIZED AGENT (DATE) . u( ISSUANCE FEE .
TOTAL FEES z r 0. -. r.NATURJ:' ni=-nwN►R Ii=' OWNER BUI DER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
ITEM REMARKS INSPECTOR
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