HomeMy WebLinkAbout0 Ridgefield Drive r
PERMIT
DEPARTMENT DECYSt6M ;,fi_'' _ :� . ` AMICATIOM FOR ELECTRICAL P$likft
Application is her6by•
''-or sOUt �i1�S •,
APPROVED DISAPPRD"D
; BUILDING INSPECTION DLPT.
Je
r 644-2311 Ext. 230
Date awfiding "0*6r ' -_
A llcetions must be printed or typed
16- LOCATION 0* JOB
LT s-o e � ►�r
#FEE SJLE No. Street
•
Floor Apt. No.
i
$1 0 - $19000 - $10.00
Over $1,000 - 10.00 2. OWNER
11,000
per or
3. ADDRESS
fraction thereof
4. • APAICANT
5. ADDRESS_,(90 Ga e n 7 loll R
?)'�C h..j OG0000
ACTUAL COST $ FEE $ 6. ESTIMATED COST S %Z.00
ESTIMATED COST $_ 17EE $ 7. IS THIS A CONTRACT COST? (n YES CI NO
d�
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED $1�
9. ffE OF BUI LnIT1C
RESIDENTTAT, C1 COM ERCIAL
10. TYPE OF JOR:
ORIGINAL ALTERATION
I4STA1.T.ATTc)ti 13 ADDITION
REPAIR
APPLICATION FOR ELECTRICAL. PW AMContinued team Keverse Side)
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11. LOCATION OF JOB LOT s ® k'j<Cd A p y •�''�c ��� ��
NO. STREET FLOOR APT. NO.
12. TYPE 01 INSTALLATION
13. SIZE OF NAIN FEEDER
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS + 16. NO. OF POWER LOOPS
17. NO. OF LIGHT OUTLETS_ _ 18. NO. OF HEAT CIRCUITS 19. NO. OF YOWIER
M
20. NO, OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22. NO. OF POWER CIRCUITS_
23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25. NO. OF ►iLI:ORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWIR PANEL.+_
29. N0. OF SWITCHES 30. . A/C LOAD 31. SIZL OF P(MER FEEDERS
32: NO. OF FIXTURES 33. TOTAL HORSEPOWER„__
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES 6-OL r (?fl
35. REMARKS AND FURTHER DETAILS:
LICENSE)NO. SIGNATURE OF APPLICANT
PHONE NUMBER
UA-No._�'1 � A)
Building Permit
Temporary Service
Permanent Service
Pursuant to Permit No. 88
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner
Electrician
Street
in9 Ir�spec or