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HomeMy WebLinkAboutPermit Electrical 1999-10-0889/?8/ 1393 L4:22 541f c62734 Srg-24-99 Ozro3P EC FI/UNDAI JOBSITE The tollowing Proiect as submitted has the zonrng, and Uoes not require sPecilic land PAGE O5 Cos t 5 05.00 $ t5.oo s t0,@ iii[,"e*o*r E$qtr 60 st00 rI95 s130 s]00s40 o?P t?alt orlGLo "c- o 0 ottt%,26-31fi{b ll\za o ztol ?.CqrTAcllR INSTAIIATION OTLI Elccrsicrl Centrrctor lddress (:L PUII(IT AIPLICATION Nr,robcr ?9rrto 3 cgr{PLEr8 IBE scEDuLE lELgc Ncv Besiden !ie1-5in61r or fu:.tf-FeoilY Prr dvclllnf unlt Sruvice Ineludcdt r,..a approval Zoning ttt ft()t35 rlrm staDsr stxDErtSt , 0lt60tl IfStECiTIOil RIOTII.ST:Signature C l A(T C} p) D A Srrn Prgltr ats non-ltrnrllrrbll rnd-lrglrl ii-"";i, ir net stertrd vlthln rBQ ieys;i il;;;r-'it rr-'ortt ir rusPrndtd tor lB0 drYr' 1000 sc.Ct. or icss Erch edrtitionel 5@ tc. tt ot Portisntlirrro( Sfeh llrnui'C tloBc. or ilodul.8'Dveiling Srrvlcc or Pcedcr lmps/voI ts Brconacct 0nlY 00 0c 00 0c 00 00 ci ry B ?hone Sugervllor Llcensc Nuabrr txe lrr tion 9rt,c Conltt Coatr. Ngnbrr Br9 rlon D.t" ol Ovarrr Add rrtt 2zE Cl ty !.---'F-'_r'- Dlra: tu3-,W- qp.-qc> c I;3?:i i:{' :; :'ii::.:i, H"3i'i'roca'l i on 65G,et.- ,bovr s ro.oc s 5s.00 $ 80.00 sG? tl" ! s?.: rODt ripon6Tisr I ctrn 72c- 3 f i00 rrPr'or lcsr 201 ubs js 6co Over l0l to 600 Ovcr 600 uPs or D. Drertch Clrcul rs ovllll ulssllutloil Tlrr lnrtelbtjon tl bera3 erfe-o1.^- ;;;'i;i;-r-o"n-Ylr* lr iot inrrndcd ior'rrlt. lcase or u.n(' Or!.rt ElSurturc: l|.r' altasrtion or Eltrnrlon 9ct ?rnrl s 39-00 I 2.0o not insludeJ) SUITqTAL OP ^BOVE5f stetc 5u:ehrr3r/tt ldrlnlerr.!ivc faa rqlAL t(ircrllrnrous (Slsvlct/ tccdls -lrch tnrtrilsBlooiili oi- itirgrtloo I tSir;/outlinr LlShling- iLi;ltad EnorfY/i.s Yii;i;; iiiefyre,ar - $ Oar glrcuit - t Gh Addlticnrl-iitcuf t or vlth Srrvtec or ?ccdcr Peralt a .oo .00 .00 -00D 40 40 zo 36 0 rletlvp lrt I I OFEGO'U t.