HomeMy WebLinkAboutPermit Electrical 1992-4-3
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225 FIFTIIS~ . . '",:CII'C"~"o~~u"1p<l' c .. ~l.ECTRICALPERHIT APPLICATION
~~~:;ORE~:::~~ 9~~~;:t~';JL.- ......d.,tyJO'b Num'ber . C. ?O~YJ
OFFICE: 726-3759 :J~~~ L
1. LQCfATI.Q.N A!. :i~'tALLi\~(Si~U(e...tbt- COH~TR T/W SCHEDULE BELOV
\lO:JU \' 0 1\161'\f\) n..y A. New R.~~idential-:Single or.
- Multi~Family per dwelling unit.
Service ~ficludedi
'\ 1f~~~~f)~.rD
, JOB DES~IPTIOti .
\. ~\OtO ~eDl~
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
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Ci ty WQF-f\O-
Supervisor L~ense
.Ph.one 4l0\-QZCl
Number 04<655
\D. \ 'C\?-
Constr Contr. Number .~~~
\(). \'C\:;f
Expiration Date
Expiration Date
Si~ure o~~~ectrician
own;:::"el1 Jru.uJ)O iii;;
Address -LId) 0 0(lJiliil/u/JlP
Ci ty S,.L 1f'Q }Phone
OWER IJJ~LI~T~ON
The installatio~ is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------4----~ - --.-.-. -----
. Q (}/ J .-
DATE: '\ ). '-'10- ;.'.. .
RECEIPT #: 1.--/- ~~
RECEIVED BY: ~)i< )~..J
. 1000.sq~ft. or less
Each additiorial 500
sq. ft or. portic;m ..
thereof ..'...
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
. ,
Services or Feeders
Installatioq~ Alteration~ or
Relocation:
200 amps or. less
201 amps to.400 amps
401 amps to 600 amps
601 amps to 1000 ~mps
Over 1000 amps/volts
Reconnect Only
C.
Items
Cost .
Sum
$ 85.00
$ 15. do
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
..
J..aL)
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 cr1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit . $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Li~itedEnergy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$
$
$
$
,(On.CO
-3.00
--'o\.~ .00
40.00
40.00
20.00
36.00