HomeMy WebLinkAboutPermit Electrical 1998-3-26
The followln .
zoning 8Ild g proJect lIS eubmltt '
app,ov;", doee IlOl require ~~": following
. -
225 FIFTH STREET Zonln,:, (') () ELECTRICAL PERMIT APPLWATION
~~~:~i~:fREg~~~~ 9~;~~3769Det,J-21'? 1~- " C~ty Job N~ber Q5Z D35,~
OFFICE: 726-3759 ~8illn8Iute If\ .
~tfq~PLETE FEE SCHEDULE BELOV
1. LOS:.~. TION OF INSTALLATION --
01.ld'i~AN A. New Residential-Single or
o Multi-Family per dwelling unit.
LE~~~:~IONO . . Service Included:
.~rJ},/II~W 170, L.'&ff7J:3m Items
,lOB DESPIT":TI.oN 1000 sq. ft. or less
~~) tL~~0c~t; Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
)
I
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 contractor]wj Val..w.LV~~
Address 1/)17",.,(: ~1/ .
Ci tyjUW~iv1 rAoJ Phone _~C(l/~orr
Supervisor License Number ~
Expiration Date
(0 - 1- "1'6
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.~~~Ch Circuits
Owners Name ~.L.v~..Jt:;:: ."" '~ 'b.A!O-,
9 iJ C v~~, ~.Ltera tion or Extension Per Panel
Address 3rQ<)' ._~_ -<{", O~_ 01) %,.!'" '
o r,.. .~ ~ I.Ul1WUlt
City~ Phone 7'f7-d'1I4-~ ~~a~ itional
\ " <?t ~~l ~.f with Service
O\INER INSTALLATION ~,o--^o19/,Fe~lt;~,ermi t .tJj $ 2.00
'~ ll'-t~. '1z. '~
The installation is being made on E. M~e n~~~~ervice/feeder not included)
property I own which is not intended -Each i ~.l'
for sale, lease or rent. Pump or l~~ i~ $ 40.00
Sign/Outlih'~~~t~ $ 40.00
Owners Signature: Limi ted Enerl(9)/R€l- $ 20.00
Limited Energy/Comm $ 36.00
41.0D
Constr Contr, Number Q()-'~17C/
Expiration Date
10 - ( . qCp
Signature of Supervising Electrician
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
3-':J/o-'11?
.:J'17_?O
d.L,LJ
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
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "Bit above
,.
$ 35.00
1/0 '!2-
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