HomeMy WebLinkAboutPermit Electrical 1992-10-15atu
225 FIFTE SIREET
INSPBCTION RBQUBST: 726-3169
oPPICE: 726-3759
ELBCTRICAL PERHIT APPLI CATION
City Jo b Number q
3.. COHPLETE TIEE SCIEDULE BELOV
A. Nev Residential-Single or
) tLtqR
D
1.OP
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IJGAL DESCRIPTION
1-102\L )u C)
JOB DESCNIPTION 2-E)
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI..ATION ONLY
HuIti-FamiIY Per dwelling unit'
Service Included:
BLectrical contrac ro, Z/,rhn"%j'
Items Cos t
s 8s.001000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf 'd llome or
Hodular Dr,relling
Service or Feeder
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less /
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
C. Temporary Services or Feeders
Insta1lation, Alteration or Relocation
I lo to Sum
boo
B
Address K55 O)
ci phone SfY -/so"
Supervisor License Nilmber 7fs<
Expiration Date / /vs
Constr Contr. Number e3t37 BB
ExP iration Date o
Signature of Supervising Blectrieian
200 amps or less S 40.00
201 amps to 400 amps _ S 55.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see I'8" above
7*---s 50.00
$ 60.00
$100. 00
$130.00
s300.00
$ 40.00
*/
Owners Nanie
Address ?GC N a</*J
Ci ty Phone
OTINER INSTALI^ATION
The installatlon is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:.\o\ r+4a
RECEIPT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Addi t ional
Circuit or vith Service
or Feeder Permit 3 $ 2.00
40.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Ptrmp or irrigation
Si gnl0utIine Light ing-
Limi ted Energy/Res
Limited Energy/Comm
56 ot-,
t^r\C-i.-
40.00
20.00
36.00
$
s
s
$
5 SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
2"cS8 9C)
RECEIVED BY:AA
C---*-
5O-c,