HomeMy WebLinkAboutPermit Electrical 1995-05-24fr;r
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BI.BCIRICAL PERI{IT APPLICATION
City Job Nunber e
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Permits are non_transferable and expireif vork is not started ,iihi"-igO daysof^issuance or if voil i;;;;fided for180 days.
2. COIfTRACTOR INSTALIJTTTOI ONLI
LEGAL
JOB DBSCRIPTION
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Electrical Contractor 5
Address' Zt L I
"LAQK-ut
ru/tsurD
ci a)eBn,^f Phone 7{> -1
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COHPLBTE PBE SCEBDT'LE BELOg
Nev Residential_Sing1e or
lllJi;lT;:1,ffi ,r"Eriiie uni t .
I tems
1000 sq.ft. or lessEach additional 500sq. ft or portion
thereof
Each Manufrd Home or
-
Modular Dvelling
Servlce or FeedEr
A
STIBTOTAL OP ABOVB
5Z State SurchargeToTA.L 3Z
300.00
40.00
Cos t
s Bs.oo
$ 15.00
$ 40.00
1
1
Sum
Services or FeedersInstallatlon, Alterationsor Relocation:
200 amps or less L201 amps to 400 amps
-401 amps to 600 amps
-
601 arnps-to 1000 amps-0ver 1000 amps/volt
Reconnect Only
Supervisor License Number -s
Expiration Date /O-/-{S
Constr Contr. Number 7L
Expiration Date 4-7€/S-
Si Blectri
Ovners Name
Address il.2/.sT
cit Phone
OVNER INSTALI,.ATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
Ovners Signature:
DATE:
$
s
s
$
s
$
50.00
60.00
00.00
30.00
:
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00
00
00
Brl
Temporary Services or'peedersInstallatlon, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps
-0ver 600 anps or 1000ToE[s
Branch Circuits
Nev, Alteration or Extension per panel
One Circuit S 35.00Each AdditionalCircuit or vith Service ,-tior Feeder permi t /t $ . z. 0o Aif- -
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 4O.OOSign/outline Lighting- $ 40.00Limited Energy/Re S 2O.OO
40
55
80
ee
S
s
$
s lt
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RBCEIVED
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