HomeMy WebLinkAboutPermit Electrical 1994-8-19
225 I-'In'lI :;TRI':I:T I~l.l~C'!'ltICAI..
Sl'IU/lGFl 1:1..1>, OIlI.:GOH 97/, n ~~i~o"~wlng projoct as 8ubmfltedhos the
INSP!!CTION REQU!!:;'!': nG_}ilfr9~aJ.nddoa8nolreqUireapeciflcland~'\1'9Job Number'::; Y //~
OI'I'ICE: nG-3759 Zonlnn 00~,.
" ,COHr1..I!TI~ PEP. SCmmUI..p. DP.1..0V
1. LOCATION 0\' INSTAI..1..II'!'~~l'i.I:/~-IfL/
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,
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LEGAL DESCltlPTION
/7-o~ -::r4""'/2 p~t!>~
Jon DESCRIPTION.,...,_ L7
. ~ r;>9-/?'.? ~..--4'~
?~;"-V&"'C-G ~~r(?-~
P rmits arc non-tranf~rable anc expire .
I( york is not started vithin 100 days
o( issuance or if york is suspended for
100 days.
Nev Residential-Single or
...,,1 ti-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manu ft d 1I0me or
Modular Dwelling
Service or Feeder
un it.
Items
Cost
Sum
$ 05.00
$ 15.00
$ 1,0.00
2. CON1~CTOR INSTAI..I~TION ONLY n. Services or Feeders
Installation, Alterations or
Inectrical- Contractor ,./, "c(c (, ,1;;-L"-,,.r ;:.-, ,Relocation:
Address, ;.(~'7C?-O /7lltf.-("(.'(:'/~), f?cO.
. c" /", .......1, 7'
Cl ty A-'__O,,,,"..(- 0....1/]/\ hone ;,/(-. -'7_<?<"/' ~7
/. J /"
Supcrvisol' License Number ~ C?,c, ~,::,
Expir~tion Date
I;: /c)/ / '/-:F
I
Cons t I' Con t r. Numbe r c;:( (~. j~ "') --Cl
Expi ra t ion Oa te
""'1/'7 / C;' >
/_ .:_-;1
,-
Sicnature of Supervisinr. Electrician
, (/~ T4' p~
, / "--"',/ O.
Ovners Name~7"~S~~.y,
Mdress ~~ ~
->> ,
Ci ty ..-)~~('I\onc ?~.::;;-
-" / .
OVNER INS'l'A1..1..IITION
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
G01 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
~$ 50.00 ~
$ 60.00
$100.00
$130.00
$300.00
$ /,0.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 1,01 'to GOO amps
Over GOO amps or 1000
Dranch Ci rcui ts
$ 40.00
$ 55.00
$ no.oo
volts see "0"
above
New, Alteration or Extension Per Panel
5.
SUBTOTAL 01' ADOVE
5r State Surcharce
TOTAl.
One Cl,rcult $ 35.00
"ach hdditional
Circuit or vi th Service c,/
or Feeder Permit ':<' $ 2.00
not included)
E. ,Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
I..imi ted Energy/Comm'
"
The installation is being made on
property I own which is not intended
(or sale, lease or rent.
Owners Sicnature:
-~~~--~~. ---.' ~~----------
DATE: .. - _ "7 V
RECEHT n: :f.!i~
IlI:n:TVI:D I1Y-:-- - /;j~:;-;;-;----:-~-'--
$ 40.00
$ /,0.00
$ 20.00
$ 36.00
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