HomeMy WebLinkAboutPermit Electrical 1999-1-20
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225 FIITH STREET "'~(~'OIo':-- 4-'<2. ~ ~(;TKlCAL PERMIT APPLICATION
~:~~i~:fREg~~~~ 9~;~~37~"-~~ ~~~Ob Number 9J/()9 r-
OFFICE: 726-3759 -'~ '
COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
5:J" 7 t. e67", W ~)..<J1
New Residential-Single or
ti-Family per dwelling unit.
Ser . e Included:
LEGAL DESCRIPTION
/7 &7- 3331 0590/
Sum
Items Cos t
$ 85.00 17 i)
JOB DESCRIPTION /7 1000 sq.ft. or less
!J&-rJ!.e,. Flt:zr,,<--f/ kill/leD- Each additional 500
1110 sq. ft or portion ..n
perm~ts are non-transferable and~expi?~~ thereof .,~ $ 15.00
if work is not started within 180~days ~: Each Manuf'd Home. or
of issuance or if work is suspenged'fo~W/r Modular Dwelling
180 days. CO~~O~I.?~ S~~ll Service or Feeder
A, . i11~tV, D (jA~'J ~.fP/~~
2. w"L.<\ACTOR INSTALLATION ONLY,,,, Cf:'DO B'~~~~Fv~c!!~or Feeders
i /'1' "'l':.tr" '/T/S Ins.~aldat~lL, Alterations
Electrical Contractor 01 I S tl6&'~.i'C. ~8.61.'"Re"l0'<;a-d6i?f?;.-
I J/) "vUtV, '18tV, 'I
Address ,j 1'/ V uh ~ T / /~ 200 a~~s"(o! qtss
201 amps to 400 amps
Ci ty <Z--v'l Phone 401 amps to 600 amps
_ ' f/ff)Mi01 amps to 1000 amps
Supervisor License Number :':t.cL ",'7 70 v.> Over 1000 amps/volts
Expiration Date /!J-' y::: ~ Reconnect Only
C. Temporary Services or Feeders
Constr Contr. Number ?-& rVe Installation, Alteration or Relocation
Expiration Date ~ 0 -~ --?'? 200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
, 'Si,lm atu:r;y. Q SU!(PS1ng Over 401 to 600 amps $ 80.00
............ ~ A Over 600 amps or 100u volts see "B" above
~ /..0 I EON/I,,_
v' Non rUles~gorf}. Branch Circuits "
Owners Name J; L... /f;; ri.'calion,...~ dOPted b;""" r"'qUires ,
00 ,;f', &52_ -"'''r, /h the ~ I'IIRElga tlon or Extension Per Panel
c:o~'/~/fb"'{fu ~JI-0010 t~se rules }Jon Utility
nl-dl1l~f;r, -J votain rOUgh fJI;;{,f(;-lcttrttJilth
Phonjfnb~ ~~t1J,2../:t,oP/es cJj~C(jf.'i\agM_iOna1
C '." Ure Ote: the Et~ p'r wi th Service
OIINER INSTALLATION en/ens 1'8~~n Ulility ~e ftr!fRem1~r: Permit
-332'2 Otlf/Cali
The installation is being made on E.34~iscel11neous (Service/feeder not included)
property I own which is not intended -Each installation
for sale, lease or rent, Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
Address 'i ~ S 5 ?
City j/,,f..
Owners Signature:
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
---------------------rJfl,
DATE: A \~1;
RECEIPT II: (Ij "
RECEIVED BY:_D1~1
2-
.E/)
$ 4b.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 35.00
$ 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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