440 Manti
JOB ADDRESS - BLDG. OR SUITE NO.
-:fJ /10 . /1 d- .#77
f . APPLICATION FOR AN . _ .,-,,(714) 999.5161
,ELECTRIC PERMIT 1'. "".,..!c'.; ,'"f1 C""'WCNO
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ns--b"?v/
STATE llC. NO.
8-3 2-'12.2.
9::z.po S-
TEL. NO.
4~d 4<'1010
err'!'
O NOSERV.
CHARGE
O ~E{;OKHECT
ORFlESEAl'
NOTE: WHEN INCREASING SIZE OR.RELOCATlNG METER/SERVICE
No. CONTACT UTILITY DEPT. 999-5155. . .
I METERSISERVICE RESIDENTIAL @ 18.50 ! 7i:i <U<'-
RESIDENTIAL SOUARE FEET@ . .
GARAGE SQUARE FEET@.o1. .' . ".
POLE LIGHT STANDARDS WIFIXTURE .
TEMP CONST. POLE I SUB POLES
SELF CONTAINED FACTORY WIRED UNIT
RESIDENTIAL APPLIANCE OUTLETS @3.00
MULTI-OUTLET ASSEMBL Y (Wire Mold Bus Duct)
. MISC.
/h OUTLETS @ 31 FIXTURE@ /u ,;zr
COMM. METERS - MOTORS - GEN, XFORMER ETC.
UPTO INCLUDING lHPllKVA@3.oo .
UPTO INCLUDING 10HPI7.5KVA@7.50
UPTO INCLUDING 50HPI37KVA@ 15.00
UPTO INCLUDING 100HPI74KVA@30.00. ....
OVER 100H"n4~YA>~45.0"O~."
MTSISVG U~l'o' INGuTDING200AMP"@18:50'--" "''''_''' .. ..
MTS/SVG OVER 200 TO loo0AMP@37.50 . '.'
MTSISVG OV~Fl500V,Jl00QA. @ 75.00
MISC. .. ; .. " , .; .'.' :''':- ......,
I na'4e earefully read and exatnineothe above APPR. ". . TOT Ai _~.- ,,' - A -7 <:-
appJjcalioll and know the same to t):e true and BY ABOVE" "'):..J - ..;I
correct. All provisions 01 laws andOrdjn'.
ances (;<wering this 1ype of construction will be ISSUING 'FEE I (.... _
complied with whether specified herein or not " ~. ,J
No person shall be emPloyed' in 'vi'l?fation 01 ~,
theLaborCodeoltheS~~,~~~r~~n.~";.,,;'^';,QV-TC?TAL FEE t/. 7, 2r
W~n properly validated in this space and paid tor this form constitufes a permit 10 do Ihe
. work described hereon. The issu<Ulce of this permit does l'Iot auttlolize the violation 01 any
slate or local law.
Wlllte--Pe,m."eOI Greeo-Permilee Cao.'y-A"dit
Piol<-CQUectioo.Golden<Od-Flle
26SEP90 TOTAL $47. 75M
PERI1IT Ct ,
. . TRANSACTIOt-l 392831*
~~'
. SIGNATURE OF OWNER OR AUTHORIZED A.GENT
RL I)G 10
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INSPECTION RECORD
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TE/AI"ORilRYPOLE
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INSPEctOR
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(ElEe.}
UNDERGRO)i}1O CONDUIT
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ROUGH ELECTRICAL /,WIRINGl.
.,,\
ELECTRICAL SERVICE
ELECTRICAL FIXTURES
ELECTRIC MOTORS .
,
.).
CEILING HEAT
CORRECTIONS OR PARTIAL INSPECTIONS' \
DATE
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FINAL 'ELECTRIC CLEARANCE
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BY
DATE