HomeMy WebLinkAbout15001 GOLDEN WEST - CofO (5)ELEC AJL%I PERIMIT
F P6 ftyll'.� 0
C!
V 0 LOW Q ON BEACH
FIRSIDEMIAL OM&E` OR
1 FEES
MULTI -FAMILY —Nl-.W
AREA IN SQUARE FEET
GARAGES NEW (RESIDENTIAL—
OR MULTI -FAMILY USE)
AREA IN SQUARE FEET
NO: OF
'APPLIANCES—
EACH
:WEATING APPLIANCES —NO. OF
WATYAGIE EACH
oomE Asiktmibm —NAME EACH
FIXt0REt_.w.;NO. OF
0 OF
SIG1 GAS TUBE LIGHTING
POLES (FERMANEAb CONSTRUCT.10N
TEMPORARY SERVICE
GENERATo.,qs —No. OF
KW. EACH
,TRANSFORMERS —NO. OF
KW. EACH
MOTORS— NO. OF
LIST UNDER MISCELLANEOUS
?AISCELLXNEOUS AND LISTOF Motols
NUMBER OF SERVICE$
(IF'UNift*1f:O BE SEOLkA TtLY-M ETEREo—
LIST AS NUMBER 'OF SERVICES)
Issuance of Eai* Permit
TOM FEE
Received -by
rmit Mthorlz6dby Date
0
F iicant td'Fll`Iti! jUse. Irio
43" i'24"401-
j,"Ll,
Y" n JiWtIN
9
Address 10 .
Lot, No. Tract NO. Block No.
OW6 6r .0 2,de /0 d
046er s
Address
:Address
Sta.to
Lid_6hsf)No.
City'Reg.
PU- rp ; ose . of 7
New Bldg. [3 Old -Bldg. [I
thereby acknowledge !hit I have read this 6pplication and stabi that
the above Is correct and agree to comply with all ordinances and State
laws regulating electrical wiring.
I hereby certify'llhAt I am tirly rAgIstered with end/cor licensed os
required by INS City of err(
Beach and/or State of Califomis,
or that I am Oe legak over of the above described property, and I
certify that In the pofoormliue of the "k for which this per-nItAs
issued I shall not employ soy person In violation of the workmen's
compennWIon laws of the State of California.
SI,jrk Aturs of
Parnitt M. D-1t2A_
Address
ft,u
VXLI frdwo CA R
Fe* 49, 40 0
INSPECTION
Date
Inspector
Cdhddit—_
W004
Fixtures
Polwez�_Ilek_?___511�
Fl-hal
1hl. Cu. Notified
C-/.-
Other
M
Routing: No. 1 Electrical "In's0ec'tor. No. 2'dMce,F1l6 No. 3 Staifil'stles No. 4-OW"Ur