HomeMy WebLinkAboutPermit Electrical 1994-05-11225 I1IITII l;TRI'I.:T
sPruNGFIriLr), otrticol,t 97471
INSPECTION RBQUBST: 126_3769
oFPf CE: 7?.6-3759
1. LOCATION INSTALLA
LEGAL DESCRII'"TTON
OB DESCRIPTTON
2. CO}n?ACTOR INSTALI-ATION ONLY
IiIcr: t rical Con t rac tor.'
Add r:ess
.":'bfgeffir
CAL PBNHTT APPLICATION
Q<-City Job Number
3-11
Signature f,r.;ornuuTE rEB SCTTEDULB BBLOU
A. Nev s aI-Single or
Tho f^tt^,,,,-^ nralaal ac ar rhnli*a.t
appiora eh,
MuIti-Family per dvelling unit.Service fncluded:
Sl'lllt'a(;l:tr:LU
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
ttrereof
Each Manuf ,d llome or
-Modular Dvelling
Service or Feeder
Services or Feedersfnstallation, Alterations or
Relocation:
200 amps or Less
201 anrps to 400 amps _40L amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
One Ci rcui t
Eaclr Addi t ional
Cos t
$ Bs.oo
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
Pcrnrits are non-transferable ancl expireif vork is not started vlthin 180 daysof issuance or if vork ls suspended for
180 days.
R
ciry 27L? rltone22//-244
Supervisor Liccnse Ntimber /596,
Iixpiration Date /b/€5
Constr Contr. Number
E>:piration Date
Temporary Services or Feeders
InstaIIatlon, Alteration or Relocation
200 amps or less $ 40.00
201" amps to /r00 amps _ $ 55.00
Over 401. to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see IB" above
c
Sign ature of Su pervising [,lectri cian
0vners Narne
A<ld rcss
City
OSNEN INS'TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovncrs Signature:
D. Branch Circuits
Nev, Alteratlon or Extension Per Pane1
_ -' g 35.00 2€
Circui t or vi tlr Service - -
or Feeder Permi t q $
I'liscellaneous ( Service/ feerler
-Each installation
Pump or irrigation S
Sign/Outtine Lighting- $
Limi ted Energy/Res
-
S
Limited Energy/Comm S
E
2.oo a
not included)
40.00
40. 00
20.00
36.00
DATE:
RECII
IiIiCIiI
*:
SI,BTOTAL OP ABOVB
5tr State Surcharge f2-
TOTAL
VIID I}Y:
c./
5
o7a/7