HomeMy WebLinkAboutPermit Electrical 2000-11-1697 477 Zontng l.?
SPA FIELC,
CitY Job Number
PBRHIT APPLICATION
- o ,680 -ol
t-
lipF-i$"jpj-SCffiDUI.^E BELOII
A.1
AUIIr,-,t''ot' Stgiraruiu ..3 COI{PI,ETE FEE
Z o33oo
,)
Permits are non-
if vork is not s
of issuance or I
180 daYs '
2. CONTRACTOR INSTATI''ATION ONLY
Electrical Contractor
Address
Nev Residential-Sittglg.ot -i!'i;it;-F;milY Per dverring unlt'
i"rr:."" rncluded t ,a"*s cost
so. ft. or less
"ddi tiot,.I 500
ft or Portion
reof
Each Manuf'd-Home or
Modular Dvelrrng
Service or Feeder
Services or Feeders
iIti.ii.tio"' Alterations
or Relocation:
200 amPs or less -:-201 am-ps to 400 amPs --
401 amps to 600 amPs
-
601 amps to i'000 gmPs-
over tbOo amps/volts
-
Reconnect 0n1Y
Sum
ach
sq.
the
$ 8s.00
$ 1s.00
s 2.00
I :?t:5T?ll;."lBo"i:i::i-""it is susPended for
B
$ 40.00
$ s0.00
$ 60.00
s100.00
$130.00
s300 .00
$ 40.00
one
r
{D)
Ci tY
Supervisor License Num
Expiration Da
Constr Contr'
Expiration Da
Signature of
te
Number
te
ing Elect ician
Ltz P g)74
sPz Phone, 7/<; gY{
orners S ture:
DATE:
Temporary Services or Feeders -iil[;it;iion, lri"ration or Relocation
2oo amps''or ress q fl'99
o;;'l6i io ooo amps $ uo.'oo
Over 600 amps or fbOO voTIs see 'rB* above
Nev, Alteration or Extension Per Panel
c
D
Ovners
Address
Ci ty
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 3s.oo
E Miscellaneous (Service/feeder not included)
OVNER INSTALLATION
The installation is being made on
p.op.tty I ovn vhich is not intended
for sa1e, Iease or rent'
-Each installation
Pump or irrigation
-
Sign/OutIine Light irg-
Limi ted EnergylRes
Limi ted EnergylComm
00.d
00
ffi,:",
$ 40.
$ 40.
$ zo.
$ 36.
:f) :f)--a*mcn!#
(}H
'(}(}O
L'J
5. SUBTOTAL OT ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAI
Z,(:f<:
mC)
LrJ
(fRECETVED
ao
nr(
<):r
(}