HomeMy WebLinkAbout822 1/2 S C St - Building
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FRX NO. : 4526424 Jun. 16 2003
ELECTRICAL PERMIT APS~IG~D
Toe Eleel7ic.ai Porrnrt l\j)~Ii<ation "".., of ftllldatQ,~~t~lv,5l ~ s/~~
Ploas. type 0;" reprint I" Ink. If tou haw any ql.l..tQjJ.ipJ II (':l~ 735
FlU< number: (3IQ\'11~711
08:07RM Pi
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i'orm'tlf: __
D..l.C Arpnwal; ___"_""_"___
t.'ll(ll~uod:_.__.
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Owner or Elec. Contrdctor A.Qan~' 17A~~ l...t.. ~""I,,( l U J..L L '--
P",perty Owner; j'\~ ; \4 _'X1Y"l\~ r S-
SO'~\A ) ":\ r-~ City POr-t PI ....~~ .21~
ElectrloolContracto" \Z:i-'!c.'<"l<-'''- .~ J.._ .ioon.o#: I"'f.; ql,~;'..
Add,... <bL,~ I(~ ((& ' City ~n., ~ ,I....v:'" I
INSTALLATION WIRED BY: 0 OWNER ~L CONTRACTOR
Credit Cerd Holder Neme: ~
Billing Addtrlss: (}'v'- " City:
?~.:
REQUEST INSPECTION []
4n..-o'i'2\J Fa.: LI,"--~'i..'"
Phone:
J-y"'A'; .2?~
'1.~)(.. .a-
Phone: 4f '--(,,~'2
lip; 41':14.,
Add reS5:
Zip:
Credit Card Numbsr:
Exp. 0.,.:
VISA: Me
PROJECT AOORES5: ;;; ) ~ It, I ~ l-{l 'L ~ 'l, J ~'/"7 / S. CST.
y
TYPE OF WORK: Check all that apply: 0 New 0 Altera~onlAddltion
)( Resldental 0 Multl,famlly 0 Commercial 0 Mobile Home Sq. Ft
Remote Metsr 0 Detached garage 0 Hot Tub 0 Swim Pool 8 Septic Pump 0 Low Voltage 0 Telecom, [J:
Number of Circuit. added or altered: n
Electrical Heat load Addition,!,
DESCRIPTION OF THE E!lECTRICAl PROJECT:
PCll~ ~!/.-
$7b.30 -t 22..70 + Z.~.7.0 ~
PERMIT FEE: /]e.I, 70
eL"'<:. 0-')..00 A-p-t 2-
/'loPITIDNIlr<. . FuPtte.s.
rh 01, "':I /
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Service Information
o Baseboard
o Furnace
:J Heal Pump
o Fan.Wall
I0N
KW
-TON LRA
-10N --
o Overhead Service
:J Tsmp SaNiee
':J Underground $eNlce
Voltage: I ::l :i.\l':) .'1' 0
Phase: ~ 1 3
Servlca S Ize:1fo0 CWIf{
Fee<jar Size:
PAMC 14.05.060(1)): For Industrial, comn\8lelal. & residential projects larger than a duple~. a one -line drawing of the Electrical Service
Feeders. building giz. (sq. ft.), load calculatio,'s. and the type & of conductors andlor raceway Is required and shall accompany the Eiect.
Permit application.
I hereby certify that I have read and examined this epplication and knJw that same to be true3nd correct, and I ,
authorized to apply for thIs permit. I understand it ilii not the City's legal responsibility to determine what permits
required; it remains the applicants responsibility to determine what permits are required and to obtain such,
Credit Cilrd Holder's Signature:
Owner or Elec. ConI. Sign.lure:
C:/ELECTRICALPERMIT APPLICATION
~
Date' ()J y,J Q:
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Date: rell?:'; 0
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