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HomeMy WebLinkAboutPermit Electrical 1999-9-29 NOTICE: , T~'~~~M\ISkl~P~~RK ~~~a7r~Yl,~~GQ~;~fllt!1!Effi'J ... . tC ffiMlTl~~ Pf;RHIT APPLICATIO~ . . . INSPECTION: REQUEST: ~~~gEDOR 'cl _t)'.',JobNumber ~Z-L/ qqfd..g~ OFFICE: 726-3759 ANY 180 DAY PER - ,.",. ' " ,., . ,-. -Date.' ,. "r-\d.' COMPl.cr.E. FEE SCHEDULE BELOV 1. LOCATION OF INST~~;6~illb Signature -'r ~1'-l:C\ ~~ """.,...1..\. A. Ne..' Residential-Single or l Multi-Family per dwelling unit. Service Included: t' I LEGAL DESCRIPTION /763 2-'-IL-/ I {/~ all JOB DESCRIPTION 1000 sq.ft. or less c..~ fI ," ,-t \:"' lA...A-1\J' .. ~ Each addi tiGlnal 500 '~- u, sq. it or portion Permi ts are non-transfe.ra,.Q.lg,?-nd ~xpire " there9f if iJork is not startecf,Cilt~i'rIJ18Qdaysl,'lVlr(1:., 'E1'chn~anuf'd Home, or of issuance or if iJor!oliQ;WsU~"'p~Wa'e(r''fo~Y''~E.'C~f;}Mo(hilarrDYelling 180 days. Notif~catinr, 0f..~"" ":. ".~,., ''( "'~II~~F ! 'Serv.!i. 't'e-r.l0r Feeder' . 'In, Oil:;"; (lr:').:,:""., "I~:",,,~Y"-,W'\" ;j.;' ~ '. ';;-:;."'1',<_ u M~ U vu._ cJ... ~ ..... _ ~ \.' .. ' ':,",,/; l '(,,,~.' t. . "'):J(,;. vY ~ 2. CONTRACTOR INSTAOlJA.""DIOWLON'E'Wi C, l+~;;: c:-;,:-'m:: of Servti:;<f:€s'..~6r Feeders calling ';;19 CC"v::,... (~ :~:~: 'ir.fl tr~rl:ft'a1!"llfa t i on, Al tera t ions Electrical Contracto~t&roi'rW~~~'n;_. -:;;;':; !\(fl@\:I81to:Cfation: , C,..,~,.,..; .' . '- ~'3'-, "f,./:/) Address Po ~I'")')( ~...q""1 J",',., ,.~ '-'''' - i..oo amps or less -- 201 amps to 400 amps \ CitY.bu..o~.A..LqI4{)~Phone~~ llo~l 401 amps to 600 amps \ 601 amps to 1000 amps Supervisor License Number \~q~,~ Over 1000 amps/volts , Reconnect Only Expiration Date' \0- \ -01 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Cons tr Con tr. Number .:\~()Q) I Expiration Date q- \'l- 010 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 S 55.00 $ 80.00 volts see "B" above signatur"of Supervisiog Electrician ,'J. 7~~f9 fJirM/ - t . - O'Wners Name t\\~ ~~""<Q__~ D. Branch Circui ts Address ~~ Nev, Alteration or Extension Per Panel City Phone)~l c::::..~ One Circuit ( $ 35.00 ..~~ 0.0 Each Additional Circuit or iJith Service or Feeder Permit $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/eutline Lighting Limited Energy/Res Limited Energy/Comm OVNEP. INSTALLATION The installation is being made on property I ovn yhich is not intended for sale. lease or rent. E. ners Signature: DArE~----------------q-~~-tfi~ ~l..l.l.t'r If: O~ J 7 0 q lit) I / RECEIVED BY: . c....v ~ 5. SUBTOTAL OF ABOVE I~% State Surcharge '3% Administrative Fee TOTAL " not included) S 40.00 S 40.00 $ 20.00 $ 36.00 . ~ <i:\ (k) ~LtS J05 _~~ So