HomeMy WebLinkAboutPermit Electrical 2000-1-4
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The fOllowing proiect as . AMT RECD ') $ 78 50
Zoning and doeb no' re~Ubmltted has Ihe fOllowing :.:. ".
approval ., We ~P~Ci~k:/and Use'" . . CHANGE:
ZOning_L DIC. . " CASHIER: 032
225 FIFTH STREET Dale -_.''''' ~:Jt;. ~, (j-\ "'--';'-""" '~~~~~~fJ~.r.If~rEtS~t{~~:m
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1.
LOCATION OF INSTAL~~ , J
(~OS (l (i~4.' , l~ A.
LEGAL DESCRIFTION ~
J<Z'n:J.-.. DS6TJ 0 l.)...() - I
JOB DESCRIPTION
r,,,_" _~' A Ie..
Permits are non-transferable and expire
if work is not started .ithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
..,Electrical contracto~ fJp"tr...~CL.
.: Address PDenx~"")
e( - 'Ci ty ~~, q1lJ~hone~4-~~ \ 1&1
SupervisoJ License Number _I ,")."Q.:::.. ,-::.
Expiration Date IO-OI-nl
Constr Contr. Number~~OQ) 1
Expiration Date
Q - {u -~
Si~a~/re of super~i~ing Electrician
, 7.J..s)~~~(}(Jy;" /
Owners l'ame' ~~ ~ \ ~ ~
Address (,~ &"'-'Llv..A g,..
Ci ty ~~ ~Phon;)~ ()(,,~
OVNER INSTALLATION
The installation is being made on
property I OIJr, which is not intended
for sale. 'lease or r"e-n t . .
. 'ners Signature:
\- ~,
Ne. Residential-SinglE O~
Multi-Family per dIJelli~g unit,
Service Included:
1000 sq,ft, or less
Each additi~nal 500
sq, ft or ~ortion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder'
Services or Feeders
Installation, Alterations
or.Relocation:
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
C.
I terns Cas t
Sum
$ 85,00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
One Circuit
Each Addi tional
Circuit or IJith Service
or Feeder Permit
-.L
Miscellaneous (Service/feeder
-Each installa~ion
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm.
DATE:
N:,<.",,UT 11:
RECEIVED BY:
5. SUBTOTAL OF ABOVE
.,~%:,Sta te Surcharg.e
'3;}A!iministrativ..e. Fee
TOTAL ."lib;:
~;~~; .~~~~
200 amps"OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100v vo~ts
D.
Branch Ci rcu its
--------------------------
1- +00
~\.LJ
-;a..;tr'
. ;;':1 ~;
_ "~.N......_
$ 40.00
$ 55.00
$ 80.00
seet,'-"B" above
Nev, AI~eration or Extep.sion Per Panel
E,
$ 35.00?-.cc::::...oQ
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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