HomeMy Public PortalAbout5948-5950 CAMELLIA AVE_Electrical__ 76A.,I`6- cm:&A- 11/75 APPLICATION FOR ELECTRICAL .PERMIT
BUILDING AND SAFETY DIVISION
PIQSE APPL1 PLNT To rit.>_IN JOB r
FRdntial Bldgs.&Pbolr EACH NO FEE ADDRESS
Aily Sq. Ft S — $ LOCALITY
lly Sq. Ft — NEAREST
RbSssT.
al Switnming Pool• OWNER OR
FIR NAMEht, Switch&Receptacle MAIL ADDRESSIL
al CJTY Til. No.
PLAN CHE K
A PLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel. No.
P iT A
Fixed AppllenCes Nox Over 1 HP APPLICANT L
Range Heater R_W. ADDRI=SS.
Oven Dryer T W.M.
Top FAU W.H. CITY Tel. No — 0
Hood Fen ENSE R
REO. NUMBER Clrr Cr1�� S
Dlsp. A.C, s
1 Hr1�rrY ACNNO�Lt DOr THAT 1 HAvr wtAD T"IFArPLICATION Q
AND ■TATK'rFUIT TH-R A■OVr 1■ CORNKCT AND AOwkt TO COMPLY I'±+
Power Apparatus& Large Appilerld i WITH ALL COUNTY Ow DINANCI• AND •TATO LAWS wtOULATIN•
KVA,or KVAR 4 kcrlYluSL}rlwleN. O
sate&Type HP,KW, C2�
Up to 1 Incl. I Hkw■*Y C<w"rlry THAT 1 Y "0►twLY wtHrfKARD AND/Ow
Over 1 to 10 Incl. U KNSKD AS wrq UIRKO ■Y • ANOr11•cOUNtY AND rr T■ Or
CAUwOwNM ON THAT 1 A Ht L.IOAi w TH _Qv■
-Over 10 to 50 Incl. DtIOCRIEWD NKSIDK L R:.:y
Over 60 to 100 Incl, PERMrr[R J/
OVer 100 51ONATU R[ `
SerYlces ICT E38ED BY
S
0.-200 Amp, Uoddr 600 V �O �`�
201 - 1000 Arrlp.Under 800 V APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V
TEMe.POWER POLE
Temp, Power POIe&Appurtehances UNDERSLAB WORK
igh wl-th One Branch Clrcuft
AddltibnatSlgri Branch Circuits
ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
i
PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT a$SUING FEE NOTES
TOTAL FEE Q
PLAN CK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.G. CASH