HomeMy WebLinkAboutPermit Electrical 1992-9-21
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INSPECTION REQUEST: l,':\,'....1 LA
OFFICE: 726-3759 - -t..J I
AUlh:r~Zod ~ignatureJ ~ 3. COMPLETE FEE SCHEDULE DELOIl
1. LOCATION OF INSTALLATION
~ 7'9 S-R ./71';1fJt 6>-=-
LEGAL DESCRIPTION
/7~2-3'.e":;>O .4J'3Y~~
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JOB DESCRIPTIOli-- ~
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
(;i ty Job Number 9'2/':2/d
A.
. "'~'''-'....J
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modulai Dwelling
Service or Feeder
Cost
$ 85.00
$ 15.00
$ 40.00
B. Services' or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
s~ . ()()
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
Owners Nanie~.AtA1' ~/C l!=~
Address ~
CitY~~~,,-Phone??L n~
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OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE: f);,ly.q~ '
RECEIPT #: /p';::;:;:3 I
RECEIVED BY: /II,iJ Ilkv--'-
200 amps or less
201 amps to 400 amps
Over 401 to 600,amps
Over 600, amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "~" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service~
or Feeder Permit --i:) $
Miscellaneous (Service/ff.fder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
~
$ 35.00 ~' '""
2.00 ~--'
J!)-' lfD
not included)
$ 40.00
$ 40,00
$ 20.00
$ 36.00
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M -t-cvt t &_15- I D~
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL