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HomeMy WebLinkAboutPermit Electrical 1995-2-22 .... . .- '"7"' , - The following project as submlttedhas the fo . . d d not require specifiC land use 225 FIFTH STREET zoning. an oes ELECTRICAL PERIlIT APPUCATION approvel. /7 . ~~~~~:fREg~~~ 9~~~~3769 Zoning L-O~ . City Job Number q4/ S /fr/ OFFICE: 726-3759 . Dot r;. Aj_-"CU ' e ~. ~ FEE SCHEDULE BELOV 1. LOCATIl?f1 OF INSTALLATION Authorized Signature .,. . . X--~ 5'710<6 K(\ ~ rffilCl \ A. New ReSldentlal-:Slngle or .' . Multi-Family per dwelling unit. / ~:DEfft.!JI'L/ tJ3367J . Service Included: Items Co t Sum -, JOBoDESCRIPTION I , )t r\J) ) -J\Q l'l-T, ~.u.J1JlfL' 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 B. Electrical contractorLJt.~ <"~ft(\i~11I \\.'7JM,., Address_P.Il. ~, I~ ~()'\.l('(\(\l1oQ~ I Cit_~ Phone'14/-11:lt9 Supervisor Llcense Number I h9.h~ Expiration Date /()-1-<l5 0:'l24q q-I-<l5" Constr Contr. Number I Expiration Date_ Signature of Supervising Electrician /?~/~7~ t'Z,...- /' A". /' D. Owners Name _ ,)t-o rn.;..f'1, I 0'\ ~ 1'1 rm ) Address 5'110 ~ K(\ ~ fYY\~ ) City~t'n~J.yhoneJogq -14q~ o~ INSQALLATION 1000 sq.ft. or less Each additional 500 sq. ft or portion 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 $ 85.00 $ 15.00 $ 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 or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" aliCiVe .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 35,00 $ 2.00 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 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DA~~~~-z;r~---------------- RECE11>TlI:' ()/(/J'3'7c/ RECEIVED BY.;..-.J . ~ ad A &, , - f_. I '- ~ - 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~5. nn I, '15 I.. Of) ~If.go