HomeMy WebLinkAboutPermit Electrical 2001-2-16
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The following project as submitted has the tollowing
zoning, and does not require specific land use
approval. 1..'i)r'L-
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OFFICE: 1~726'!3"59.r-;~l:';':''':~'',.:l",~),':,;;'(,/''\''':;':itflf~'~~~~,\,.ry!,,:~\; <,mt4;:~~~':':t::~R '1':r,jF,~~.t;'!'i" !I:'"'''' ',' '~
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1. LOCATION OF INSTALLATION
14s.o ct'lA~. '"'DR.
I
LEGAL DESCRIPTION
J gO "3,Ozoo
00701
JOB DESCRIPTION (\
C'..h",~ nl' "'" \-\"A..t:' KV"-~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY .B,
Electrical Contractor ORE~N ELECTRIC SERVICE
Address :x:>oQb.....'L~"''a'''\.
..S~.tJ~"'~~.:, 0;:), Phone?-4.~~ I !diLl
Jupervisor License Number I jl..Q~ ."'\
_', . .'.< _. i..,.p .;...'... -'. .
Expira:ion Date~';O"-OI
Constr Con:r. Number _~~~I
Expi~atiojj DatE t\ - 1""'\ - 0"""
Signature rf Supervising Electrician
7Lo/VIM~(I) ~k/
v
O,mers Nam'c'l.cuuk. Fnirl"n '" 1.::...:-
;/;w..eG'l'L ~fL
Address, /I..(c;-e:.
Ci't~"" "Spr=,6
_Phor.e~ ~53_
OYNER INSTALLATION
The installation is being made on
property I own 'vhi~h is not intended
for,. sal.e, lease o~ r~nt. . ._____
. . r ';.... . '.'1...- . "-f'~
Owners Signa,ture:
,.).,'
t.~ V
DATE: D 2/1--:::0 (
RECEIPT #: I.-('Ih'ii'
RECEIVED BY: ~f(
, A,
New Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereuf
Each Manuf'd Home, or
Hodular'Dvelling
'Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
.. '401 'amps' to' 600ainps
i60F !amps':'to'-::.iOOO;,amps
Over "rOOOampshol ts-
Re'connec t Only ,'.'
.~. '.; .
uni t.
Cost
SUIT,
$ 85.00
$ 15.0(;
,$ 40.00
S 50.00
S 60,00
$100.00
;$130.00
$300.00
$ ',4.0.00
c.
Tcmpora~y Services or Feeders ':t
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
'. ,
One Circui t I
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous,(Service/feeder
-Each installation
Pump' or'Cirriga tion
Sign/Outline 'Lighting
Li1riI fea':Ei1erg);IRes~'"~':.
[;-filii te'a"Energy/.Cciiiiiri'"
;)~;; . -:. :.-' ., "', .:.~ '.
5,
SUBTOTAL~ OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
S 55.00
$ 80.00
see. flB" above
S 35.00 A~~
$ 2.00
not included)
$, 4.0. 00
$, 4,0.00
S 20.00 :i:
$,36.00,
.....
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