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CITY OF ATLANTIC BEACH, FLORIDA
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Apps by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: -� 2 / 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A. PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
e e6 670 c ,( 7�c?X'eG _ f j eq l/. - 2So
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME 7 ' ADDRESS: 7c ? 4 ? . 1/-7 °', , 2 '�/? L. RFD BOX
BLDG. SIZE l / 1" C:24 -6 BETWEEN:
RES. ( ) APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ! OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. (' I SIGNS ( ) SQ. FT.
SERVICE: _NEW ( ) INCREASE ( ) REPAIR ( ) FEE
CONDUCTOR SIZE "+�" ,l ( AMPS /0 COPPER ( ) ALUM
SWITCH OR BREAKER /CO AMPS 3 PH `/ W .- *bVOLT ( Z RACEWAY
EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0 -30 AMPS. 31.100 ' AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS. , ' OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
IVI ' S a s . "V TA PHS NO. 1"H.P. VOLTAGE: ,�
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L: L. €:= � G t3
TRANSFORMERS: UNDER 600 V. 111 OVER 600 V.
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S
TOTAL FEES
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CITY OF ATLANTICEACH, FLORIDA
App►owd by ' APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z 6 19 :'
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
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ELECTRIC FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEY
1 7479 X01'2
NAME ADDRESS: '`� --RFO BOX ,
J �
BLDG. SIZE 2 0 '— " BETWEEN:
RES. I 1 APT. ( ) COMM. ( 1 PUBLIC (✓1 INDUS.'( ) NEW ( ) OLD ( REW ( )
ADDITION I ) TRAILER ( 1 TEMP. I .) SIGNS (` 1 SO, FT.
SERVICE: NEW ( ► INCREASE ( REPAIR ( ) FEE
CONDUCTOR SIZE 7 AMPS COPPER 94 ALUM.1 1
i
SWITCH OR BREAKER 'Z- $TAMPS 3 PH W `�Q'OLT 2,4- 'RACEWAY
EXIST. SERV• SIZE 1 00 AMPS PH W VOLT RACEWAY
FEEDERS " NO. SIZE NO, SIZE NO. SIZ
LIGHTING OUTLETS �4 CONCEALED OPEN TOTAL
RECEPTACLES 2 ''' CONCEALED OPEN TOTAL
0.30 AMPS. 1 9 f.1 CIO AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS. OVER ■
APPUUAI•ICES ( BELL TRANSF.
AIR ' H.P. RATING H.R. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT
0-1 OVER
MOTORS HP TA a R ... : PHS NO %10 P. VOLTA . PI-IS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. IiI OVER 600 V.
NO. KVA III NO. KVA
NO. NEON TRANSF. NO. VA. MA. 1 MOTOR SIZE SWITCH FLASHE - i
EACH SIGN
FORWARDED
TOTAL FEES
or
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