HomeMy WebLinkAboutPermit Electrical 1992-3-2
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LOCATION OF INSTALLATI~
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5 PfD. (!)f2., ._, ua Slgnatute
LEGAL DESCRIPTION
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JOB DESCRIPTION .r1JJL..-..-
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(ALL /L../"UM I"'PlT 0;.0)
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
1.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (;;V'i~(. S I.,..... ~ Ijw,uw,
Address /210 OAILPA"T""rl fl-fl.
City W?wl!-. o~ Phone 4 tJ e; , ~'1-r..
Supervisor License Number -1/ 4-<,0 S 1:
Expiration Date
If) - I - '11
Constr Contr. Number b 2~o7
Expiration Date' /0 - /- "....
Signature of Supervising Electrician
MPli2-K foSTf;fL: ~ 7~
Owners Name 1/, F. Za'$
Address ~ <f- 2 &,. c.. 't'P ~~ s
City J2.t.f7f7ltJ.,.~. Phone"f"-2'2.J-DS10
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------- , -Ti-- . I -------. ------
DATE: ,~'dr'G{ ~ ,,- n '
RECEIPT II: \ _ IL...",.':'"\. <"") ('-, LI.. /l
RECEIVED BY: C~ '-f"
,
uni t.
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Sum
$ 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
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting ~ X $ 40,00 ~oo
Limited Energy/Res $ 20.00
. Limited Energy/Comm $ 36.00
One Ci rcuit
Each Additional
Circuit or with Service
or Feeder Permit
I 2.0 , Qi>
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12b'wee
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