HomeMy WebLinkAboutPermit Electrical 2004-7-22
Permits are non-transferable and expire if work is Each Manufac\' d Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
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2. Wlf2.1'fI'..M-&lilll.Ji~r,r.'A.'TI.ol':l.OIJIit). ~tf)3 ~~\ij$<;~~~i:@Jb~(l!h~~lW-.[~~R~IQCa!iOn" '.
.... ~ \\'18 01990 e1~.!!r .
Electrical Contractor ~O.... aJ;ff..t\ ttI CU\eS alEllll c.~ less
,. ~\(1tI (U\eS ~. 1'\~ g'('l 0~~'d9 400 Amps
.~~J.!'r~Ot\,ce :\O~ieSo\~~'ll\'illt0600AmPS
"'.... D .,,\1\ OW ."\~?'''.
\1\ Of>.'" ltIa'l 0'0- ~O\e: ~e '6Oo\i~ 1000 Amps
I) aU ,\'\^ r.Bfl\.8" . 1\ U\\\i\'l ~~l 000 AmpsN oils
ca\\\l\~ ,~t \\,9 Ot~O.332..ZoR'E~b"nnect Only
t\uItI09t~l\tet \5:\ ~::::.""_'~'"""""""'~.-.""""_j,~""~~~l<~.'." ~
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LEGAL DESCRIPTION I 703 2.5' ( I
.4,{rli /-;"'':), 00700
JOB DESCRIPTION
A'bi'J
c..t d-CJ.A.~ ~
2..
Address
City
Supervisor License Nymber
/
,
. Expiration Date/
./
Constr. Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name ~}r,'t<""
Address ?~ ~ Wi ~L
City 5Pt:'IA
L/l/?&' r
/J.....
Phone 7(6'"615
OWNER INST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
7z
Inspection Request: 726-3769
"-.
$ 19.00
$50.00
$ 63.00
$ 75,00
$125.00
$163,00
$375.00
$ 50.00
. Installation, Alteration or Relocation
200 Amps or less.
20 I Amps to 400 Amps
40 I Amps to 600 Amps
if7
$ 3.00 :3
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E. MiS~,,~~I!~t!~(~~~~telft~~~.f1iEll~!.~2~st~1l.~!ioriS
Pump or irrigation
Sign/Outline Lighting
. Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50,00 .
$ 25.00
$ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. 1'$"flB~HrA.EfqF~QVE:, L{ b
"3 'z.:z.
1{60
53.!!
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding FonnslElectric.:li Pennit Application 1-Q3.doc