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HomeMy WebLinkAboutPermit Electrical 1992-3-2 _ Z iionl LOCATION OF INSTALLATI~ q~1 1</2..vSE. I.,,)"'-(A,~. 1<___ . 5 PfD. (!)f2., ._, ua Slgnatute LEGAL DESCRIPTION 110"3 z.:u., 0 cr/1t 0 JOB DESCRIPTION .r1JJL..-..- PV/..DN SI.......' r'lo,JuI'twf 5/&',J. ~ wALl. 51e.NS (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 q,ooz. 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> ~ ~ ~i:lf> 12b'wee I ; 1 ~ ..