HomeMy WebLinkAboutPermit Electrical 1992-9-1
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225 FIFTH STREET I ': '. .. .. " ,,: ~.'i.;:,:;;.;,,~..,~ELECTRICAL PERMIT APPLICATION.
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1. LO~ON OF INSTALLATION" , : >..,:'..~ l{J C~E FEE SCHEDULE BELOV
J~/& /' /5U;51~/V/7'4'-(~ A. 'Ne-w. Residential-Single or
. - Mul ~am..iJ.y per dwelling uni t.
LEGAL DESCRIPTION Service InclL~ed:
1'1 C13 2-S J.3 7'1cJ"L Items Cost Sum
JOB DESCRIPTION /
L:-IA::--T SIf;eP-; ~ ~JiJ< ~Jc;jl/?? r
$ 85.00
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
.'
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Services or Feeders
Installation, Alterations or
Relocation:
B.
Electrical Contractor ,~)./?;t26 ~/,-
Address. ~01::t 4: ~[(/& ,~
Ci ty hA'c;.' Phone 7t:;Z7 -!Jc' 7/
Supervisor License Number ~/7 S'
Expiration Date /G?~~~
$ 50.00 jt17'J!..~
$ 60.00
$100. 00
$130.00
$300.00
$ LIO.OO
200 amps or less 2.
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number () ~,~ ~r')
Expiration Date ./J'~~2-
. '/
Signature of Supervising Electrician
)C cil J~~ cJf 1J1~
ow:rs Name J/~ ,/f/A-~JL~TZ
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
D.
New, Alteration or Extension Per Panel
Address
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
$ 35.00
City Phone
OVNER INSTALLATION
$ 2.00? _CJCJ
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE JIJ2- crD
5% S ta te Surcharge ~ /0
TOTAL /n? ./0
lEs5 /~~ /fJ8e#?// :... ~200
~~7~ 55""S- G) %(;5./10 -7~;;;t( lJ~tY.
Owners Signature:
~~~;~---------~~-;~-;~-------------
RECEIPT #: hI? t;:;"7" _ .
RECEIVED BY: ~~