HomeMy WebLinkAboutPermit Electrical 1997-8-25
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BLBC'llllCAL .......... APfeCA'lIOR A
City Job ~r ll.ll ~I t'Tf
3. oilKPLBTB PEE S ~: .:....iB BBLOV
J
A. ,"Nev Residential-Single or
Multi-Pamily per dwelling unit.
Serviee Included:
The, following project as sUbmlttod hes tho followin
zon:ng, l.md doas not roqulra speci1ic lJ.nd Ll"" g
approva.l.. _.
225 ':~A" ':'..~.. /J I' .
S.........AD..l)' ORBGOR 97477Zoning ~ '-"
........""'...v., ...,.."..sr:',DJ~6-~~) -c,,1 .
1,,<< A"'>: 72.6-3759"" ---I
.t.i.d;C'rlZM ~ignet' 'iD 11 fV\
1. LOCATI9Jf Of DlS'rALLAT~Olf' -
.~~=7~ hCLtel-.\{1'f ESt
JOB IJESCl\l.PTION ') /1/_.1 lOOO'sq.ft. or less
lo.oQro..de ,,'<.o..e..l I'\o\~,-ro,- ~(~"'" Each additional 500
~ LJ ,)?,',.I '~,. sq. ft or portion
penaits are non-transferab~~4Jlci'~Pl~ thereof .,
if- worlt is not started !!"tIi 1:g,9, d4ls Each Han~f'd ROlle or
of issuance or if work ~ n~ fill; Modular, Dwelling
180 days. ' -'.9_ ~C <-Or, \J~ Service or Peeder
v6~_~ vlf,; r( , '
2. COHTRAClOR INSTALLATIOlf O~ O~ V~ 41~ Services or Peeders
: _ _ ~ {sl ~ ?9~nstallation, Alterations
Electrical Contractor I W \:..' .L.~ -1,Q ~,o Ge> Relocation.
Addr~ss ?O. Rr:Y 1-'1;1' q"'+cd1fo~<%~'J::~s' or less
n. . C'. '~~ to 400 smps
Ci ty rY">'\. If\.. q Phone ciO?J' ~&, '6. to? I [<' ~t 1IqIp'r to, 600 amps
o ~ ~S to 1000 amps
Supervisor License NUllber d-ts, b~' S Over 1000 ups/volts
Reconnect Only
/6' \ - q<:t,
'I C.
f:)G"OLS'J C.
ID./.crt
\~lffA~J!f~~r)(
Expiration Dati!
Constr Contr. Number
Expiration ,Date
OWn~rs Name ~ l~
Add~e . 5~\ ~ ("1(\ ~ o,:~<
Cit Phone' ~
ALLAnOJll
The installation is; being made on
property I ovn vhich is not intended
for sale, lease or rent.
OWners Signature:
DATE:
RBCEIPr I:
RJk.c,.o....... BY:
irOOIi!l
a .{~.c:...,crr- 5.
c.~,;; ~~
V)t.L.J1A../ 'IIHS "A30 lMdS
Items
Cost
SUIl
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
/
Temporary Services or 'Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 BlIpS $ 80.00
Over 600 amps or 1000 volts see WBW aDOve
D. Branch Cireu1ts
.'
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00 ~o
Each Addi donal
Circuit or with Service
or Peeder Permit 4 $ 2.00 ~o
E. Hiscellaneous (Serviee/feeder not included)
-Each' installation
Pump or irrigat10n
Sign/outline L1ght1n~
Limited Energy/Res
Limited Energy/Corom
SIIBTOTAL 01' ABOVE
5% State surcharge
3% Adllinistrative Fee
TOTAL
SWOt 9irL to~G
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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