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HomeMy WebLinkAboutPermit Electrical 1992-1-30 S.-.,IN(,;,.r'LLU- ~..~ ~. 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 -!fj) . ex) r{/, F1 J tJ ~.:5U