HomeMy WebLinkAbout0]BA663GC6906612,T9 APPLICATION FOR ELECTRICAL P 11
BUILDING AND SAFETY DIVISION
New Residential Bldgs. & Pools
1 & 2 Finai ly Sq. Ft. -''P'"2'"
Multi -family Sq. Ft.
Residential Swimming Pools
Outlets: Light, Switch &Receptacle
First 20
Additibnal
Lighting Fixtures
i First 20
Additional
1
i Fixed App44ances Not Over 1 HP
Range _ Heater_ D.W. —
Oven _ Dryer — W.M. _
Top — FAU _ W.H. _
Hood — Fan _ — —
Disp. _ A.C. _ — —AP
Power Apparatus &Large App liances
Size & Type HP, KW, KVA, or KVAR
Up tot Incl,
Over 1 to 10 Incl.
Overt 10 to 501ncl.
Over 50 to 100 Inc[.
Over 100
Services�._---
0 - 200 Amp. Under 600 V
` 201 - 1000 Amp. Under 600 V
- Over 1000 Amp. or Over 600 V
amp. Power Pole & Appurtenances
n with One Branch Circuit
iitional Sign Branch Circuits
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$ – $ `
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LOCALITY
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PLAN CHECK
APPLICANT
ADDRESS
CITY Tal. No.
PERMIT ..
APPLICANT -
ADDRESS -
CITY..,:w,,-WP'® =s. T.I. No.
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LICENSE OR REG. NUMBER Class...... -
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SIGNATURE
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DISTRICT NO.
PROCESSED SY
PECTO R'
APPROVALS DATE SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
-
WIRING
Oar)
FIXTURES
POWER AUTHORIZED
MIt FEE (Sub-Totall
N CHECKING FEE (One -Fourth Permit Feel
MIV)SSUING FEE
f AL FEE
Pt 71411CIC VALIDATION CK, M.O. CASH
UTILITY CO. NOTIFIED
FINAL
NOTES
PERMIT VALIDATION CK. M.O. CASH
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