HomeMy WebLinkAboutPermit Electrical 1992-1-30
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225 FIITH STREET ,,('.~o\\Ol!r.ECTRICAL PERMIT APPLICATION
~~~~~i~~im~~;~~ 9;~~~3769 ,:i}:.~~;~\~~;'~:;;:~;~;~;;;"'.l.'. Ci ty Job Number OJil'f'13~
::"~~:;:~:5~t';~~,~,"", :::,::::::::,'::"
~ ",--"'-:::,.".~;z_ ult~-Family per dvelling uni t.
LEGMo..l}E~+Q~ /"N:':S.m.'~ SerVlce Included:
\ I () ;:J,-')~ 1 ) ~.IQ'lID Items Cost
~~()ELcfffir ~ f?U .
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders.
)k\ _ . I ~ Installation, Alterations
Electrical.CO"""O'JLlJLn 1-\i'l1JL~ R,lo,.,!o"
Address Rss, J) . ~~ 200 amps or less I
C. -,. =.. f\ Cf \-' r""\/\ 201 amps to 400 amps
City UJrx~Phone IN - ~ 401 amps to 600 amps
(j) A C::'S 601 amps to 1000 amps
Supervisor ~'cense Number ~~) Over 1000 amps/volts
IT'\.. l 0 c n Reconnec t Only
Expiration Date () or-/...
Constr Contr. Number (o.... ~ 2/l
Expiration Date_\ Q .c!) ~
Signatu~.:;.zrvi~ctridan. . D.
~k"m Ill//"t" (J/'{J en. 11/1 AD:) Branch Circuits
vners Name~()lJ(( Jl ~
I'::?....,~ _ _1 ~-I- Nev, Alteration or Extension Per Panel
AddressLJ I U cbO . LA ~( . r)
Ci ty '- ~bJj) n Phone 141-4~D'b
OWER I~LLATION .
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
The installation is being made on
property I ovn which is not intended
for sale, 'lease or rent.
, ,
Ovners Signature:
~~~E~----~~~~z:r~~~--~----------
RECEIPT 1I: L. # ~':'-~~l 0 \ q
RECEIVED BY: l -:ZY,LJ{). J
1000 sq.ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
or
$ 50.00 50
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinv
Limited Energy/Res
Limited Energy/Comm
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
volts
$
$
$
see liB"
above
40.00
55.00
80.00
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
. $ 36.00
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