HomeMy WebLinkAboutPermit Electrical 1993-4-2 (2)
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225 FIFTH sTromT . 20(':-- t.D6 "JO~~L~&tJ~JC*~PERHl.T APPLICATION
~~~~~i~~DitE~~~~~~ 9~~~~3769 Q~i';)~.Z;:~q-~---'€i ty Job Number CJ3~
OFFICE: 726-3759 ~1l!th:O;:iZAd,$jrn'C~ '..,,' hl.,J
~. I ." :3~.--l:,.-q9f.PLETE PEE SCnEDULE DELO\l
1. pP~~TION 9Frt~~L~'FION .' /' ~=-=---
r:y I (..12!] "-::-~)ll1lJ. ~_ ~. New Residen"tI-:d-Single or
- ~ ) Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
lO/::::'.'":2 (1'1000 sq.ft. or less
~ ( .~ Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
S~D~L)\O_OjY\0J2
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALl.ATION ONLY
Elce trical Con t rac tOl' LLf.,l./,AI'S ZlE.-J-
I
Address ~ *
,
Ci ty ..r::dY C * Phone
17--G -'1 ~S
~3S-'1--S:
Supervisor License Number
Expiration Date
10/ f3
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cost Sum
I $ 85.00 ~
~ $ 15.00 '-: '9')
$ 40.00
$ 50,00
$ 60.00
$100,00
$130,00
$300.00
$ 40.00
Constr Contr, Number
1.3/or
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date )D/93
/
Signature of Supervising Electrician
~ ~ ~(7
~ AI _ , (~ 1"'\ I . D.
O\lne rU~. LQ 94-- I _ \.XJV\..-J
Address.81 QSCf -P~A k~
Cit~~~O_ Phone lb-3R1S1
O\lNER INSTALLATION
The installation is being made on
property I O\ln \lhich is not intended
for sale, lease or rent.
O\lners Signature:
l
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('7) '7\"'" ---\ ,- - -. .
RECEIPT #: - -d<'iii!!Jl~ '
nECETVED Il~------- ./ - - ' -
_.. - . ._. "__. ._ ,-.__ _." _. o. . .._.. .._.~____._
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Ener.gy/Com,"
One Circuit
Each Additional
Circuit or \lith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2,00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
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