HomeMy WebLinkAboutPermit Electrical 1994-3-4
.
.
The ic:!owlng project as Gubmltled "hlaola~ ~~owlnQ . ,.,
. _ .",' dCDS not requlro Specll C .
225 FIFTH STREET ~~~;:al~ ,~ ELECTRICAL PERMIT APPLICATION
~~:~~~~img~~~ 9~~6_3761)10 MOP City Job Number q4M~~
OFFICE: . 726-3759 ~.~2J, ,\",J
'c.,, '_..=L=1-I::J.4- 3
1, I L.Qs:~ION; OF ~/lLWlT.W!lSI"!1,olUrO~, .
\On' H- \nc;=:,G\'~0 ,\\\f1li2fULaU'
~0~ef~~,~r()
c!J IrA~
2. CONTRACfOR INSTALLATION ONLY
Electrical Contractor Hr'--J':'-'<' / (.f.:..
Address .:; ::::::s. S, (dJf ()i.-
Ci ty ...s: P {'D
-- .
Phone /"/ 'I' II ~.J,"
Supervisor License Number ::>S '"('1 S
Expiration Date /1-9S-
Constr Contr. Number '81'42.""?,
Expiration Date
:::; -s - q '-f
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE~-----------'-i&d~ ~ ~~31-,A'1.
RECEIPT, II: G' - t ~
RECEIVED BY: ? f./JC\.-) , ,
COMPLETE FEE SCHEDULE BELOIl
Nev Residential-Single or
Hulti~Family per dwelling
Service Included:
Items
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion ' f"\
thereof . ,:....L
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
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
unit.
Cost Sum
$ 85.00 100
$ 15.00 ,3[)
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
Signature of Supervising Electrician
q~~.
.. y~ >=I.a Al D.' Branch Circui ts
, Owners Name.....nJ( Of)~1..t..P..----'
Address II ~ ~nil'f" )
City ol:Jt.1]o _ Phone ~ ~43.s:L:A ~
01lNER I~TALLATION
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
40.00
40.00
20.00
$
$
$
$ 36.00
dm Cf<
---1-1) . y-y
rO /'/) ,C-U