HomeMy WebLinkAbout1387Akill i(I ! l! (j,I I i)�', Ijyyr [dye a d [may Y., ..
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4 g:,. a IKOL�AppLICANTYOFILL'IN
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EACH NO FEE
Nev, R;esidenti"a1 B�Idgsl'Pob�sl LOCAlITY
�ami�li $
8 2 Y, 4
Multi4;0 02 NEAREST 1
C
Sg �t CROSS ST
a s1
Residential Sw mmiig Poo s 25 00 OWNER OR
FIRM IJAM
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aL d j( � :!1 I
MAIL!''i 1 (, is
Outlets Rec P , Light Sw.
1 I� 11 I I I dl I FirsT 20 I � 5C ADDRESS
Total No' 1 Ili(�hly I " 30 CIT Tel No
Addil I
pL° CHECK II I i
APPLICANT
Lightira Fixtures °' Pirs`t 20 5D ADDR,sS
L Additional 30 r o l h I
Tota(No �(ri 1 CITY,d; ( Tel N'0.
Fixed r� plionces of Over
Oil
Ran e .w iH'eaNri er �F�� I T-
APptTP E ICANT,
P �,�I n;l� I S , ADDRES'�!
OveH I�r�er I,bV M
To FAU 4Iw N CITY
P
Hodder_ Fp 'I N Other- LICEINSE R .y Clal
Disp � i2oom Ir Kona ° 2.50 REG. NCMf3CR'
(i ti,i cif', FERGBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Appa acus Lame Applia ces TION A&D STATE THAT THE ABOVE IS CORRECT AND AGREE TO
YpN'G STATE LAWS
zn UlpWil
II IMIN'IJ' i I KVAR REGUL^AHF EBY ERTiFYELECTRICAL`HAT�Ap✓ PR �ANCES GI�TER��
N
Size T i� H' KW 1K
1nd or 5.00 CENSER P$ R
COMPLY V H ER B LOS ANV RLY RE AND/OR
ALL COUNTY''
2.50
I,ni its ELES COUNTY AND STATE OF
ver to 0Incl. pvL{
I p , i12'Sb CALIFORNIA ON TI T I M HE'LE�` OWNER OF THE ABOVE
t it SI
ver j0 to'S0 Incl. DESCRiB0RESIDE TI P OP dTY: i G
wet �blto 1100Ind.
PERiv114EE s ..
�P a a ViOvel j o� !. 40.00 DISTRICT CT NO PROCE ED BY
6
Service S 1lI (ylli vii I I
�0 200A�mp. Unde�`6�0`V 12.50 a
i, a 25.00
201 1000 Amp dilln, 6001 V 50.00 r Zy, II
Ober 1 6Cb Amp Cdr Over 600 V
c�1ilijI;(
1 O.Op
Temp E�ower sole 8 Appur elionces
u 0 00
Sign with ane B'71 C'rcuit
Addi conal <ign tichiiIrtUIY9 2.0'0 �Np�`Aon� '. y
?W IfION v
Misc. Cord�its & ohid ctors 0 0C QN R� 9SE X
Other iSee ompyete ill F�'eliScheCulel SID I: �
s aCii�ii:3 i�. qlI II rlI 'i r "I!
PERM(YEE I a ji ai'' s l SVb Total t u t'.i n 1s 'r'. t` 3
PLAN C �'I�f��F(One-Fou rh Permit �ee A
PERMITISS�JN�I1aIH
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TOTAL FES sli}.i" r u
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