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
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