HomeMy WebLinkAboutPermit Electrical 2004-7-29
200 Amps or less
201~mpsto IJ~~
" 40 /fIi....~\i\'a.....
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~un .QU\~I\ .", ie5 ~\eo'rlO~af'
~~~~ .!~~_~eeders
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~\\~ \o'i~g\~.reration or Relocation
~'O":i' ~\lb \;:mps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
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ELECTRICAL PERMIT APPLICATION
City Job Number CO/M, 7LJoll-oO 9'1 ( Date
1. I LOCATION-OF INSTALIATiON
77'') S, 57+L-.
, ,: ~
s\-
LEGAL DESCRIPTION
('60 Z b l.( I I () 5' I 0 0
JOB DESCRIPTION
1LtWI(L~ 40c::>o~
Permits are Don-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. I CONTRACroR INSTALIATION ONLY I
Electrical Contractor
Address
City
Phone
Supervisor License Number
Explration Date
Constr. Contr. ~~
Expiration~
~Of Supervising Electrician
Owners Name~(')^"
t-I-v-JOAf
'57+-L.... 51-
Address
77")'
~:Vf~
Phone
c:;
City
OWNER INST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
,J
\
I>
~'"'"'
~
Inspection Request: 726-3769
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--
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/ / approval. ( 1)/1
7/2-'1/0'1 Zoning- ,'.- , /04-
f f I/-:&'L +-
3. I'C0MPLllIflj"j;J;,l'.SCiiEDULElJELOW m ~
AutnonZ'b1:rSlgne.tu,"'.
A. I:NewR~~identU;l:": Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
lob
IIL(
/
b
$106.00
$ 19,00
$50.00
B.I Services or Feeders -Installation, Alterations or Relocation:
$ 63.00
$ 75.00
$125.00
$163,00
$375,00
$ 50.00
$ 50.00
$ 69.00
$100,00
Over 600 Amps or 1000 Volts see "B" above,
D. I BraD~" Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
$ 3.00
E. I ,MIs~el!a.ne~~~ ,(~~r:v,ic~feeder not. iDclU~~IDstallation I
Pump or irrigation ~'/..\l\V.~~TQ~\l.~~\)\
Signl~~~.'gh' 'O\\t>-\.\ ,\\\';) r~\c."i~
Limi e te=Ili\iP\ t>-9.I\~\) . $ 25,00
Limit.;h ~m\. ~ ~O'\} $ 45.00
Minimum EI~~\i4\-~it'JI'~&~n Fee is $45.00 + Surcbarges
\I . \"-\1
4. '~ll.BTOWO~,~O~:I., .",. I 22-0
7% State Surcharge I:) l{ 0
10% Administrative Fee 22- c>-O
TOTAL '2') 7 '-(0
Shared Drive(T:)lBuilding FormslElectrical Permit Application ).03.doc