HomeMy WebLinkAboutPermit Electrical 1993-03-03SI"ItNGI:!ELL'
2fi,
2.25 TIITJTII 1;TRI.]I|T
sl,ruNGrI IiLI), oltI':GOl'l
INSPIICTION REQUIIST:
oFPICE: 7).6-3759
91 471
72.6-3'169 _
Signature
LOCATI
rqs
LEGAL DESCRIPTION
2-a
Pcrmits arc non-transferable a nd eipl re
i t vork is not started vltlrin 180 days
of issuance or if vork is suspended for
180 days.
2. CO}N'RACf,OR INI;TALIJ'I'ION ONI,Y
RLBCTRICAL PERHIT APPLICATION
ciry Job Nunber 7^-1
COHTLBTB PBB SCIIEDULB DBLOV
Nev Residential-Single or
HuIti-[amiIY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additlonal 500
sq. ft or portion
t lrereo f
Each Manuf 'd llome or
Hodtrlar DveIIing
Service or Feeder
s 85.00
$ 1s.00
s 40.00
Services or Feeders
Installatlon, Alteratlons or
Relocation:
200 amps or less
201 anrps to 400 amps
--401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amPs/volts
-
Reconnect 0nIY
,)Date
1
A
Sum
Iilc<: trir:al. Con t rac tot.'
Adcl r:ess
Ct I I I o nlrtr"e',flinn. .
B
C
D
Ci ty l'honerlL[l Jk)
Supcrvisor Li-cense Num ber l6 86S
Expiration Date
Constr Contr. Number f)z+q
Expiration Date
Signa ture of Supcrvisi Elec t ri cian
Temporary Services or Feeders
Insiallailon, Alteration or Relocation
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
40.00
55.00
80.00
ee rDrl
00
00
00
00
$ 40.
$ 40.
$ 20.
$ 36.
200 amps or less $
ior o*p" to 4oo amps: t
over 4b1 to 6oo amps
-
$
0ver 600 amps or 1000 volts s
Branch Circuits
a566
Owners Name f,i mtL'Potfotu.
A<ld rcss
Ci ty I'honr:
OVNNN INS'TALLATION
The installation is being made on
property I ovn vhich is not intended
t,or sa1e, Iease or rent.
Ovncrs Signat
DATE:
Nev, Alteratlon or Extension Per Panel
onecircuit I S35'0095,-qo
Each Addi t ional
Circtri t or vi tlr Service
or Feeder Permit
-
$ 2'00
-l'liscellaneous (Service/feeder not included)
-Each installation
Prrmp or irrigation
Sign/0utline Light ing-
Limi ted EnergY/Res
-
Limi ted EnergY/Comm
E
5. SUBTOTAL OP ADOVB
5f State Surcharge
TOTAI,RIiCEI
I{Ii(:I.IIVI.ID IIY:
35.oo
I ,rs
3b,q5
Authorizeo
INSTALLATION
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