HomeMy WebLinkAboutPermit Electrical 1993-01-15IY OR
5r.rilt{(:lrtt:L1)
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225 plt.Tfi STRI.:lir
sPtuNGFIr.lLI), otrlicot,t 97 477
INSPtfCl'IoN RDQUIIST : 7?.6-3-169 L- l.ri
OFPICE: 7?.6-3759
I
Pc rnr i ts arc non-trans ferable and cxpireif vork is not started vlthin 180 daysof issuance or if vork ls suspendecl for
180 days.
2. CO}NSACTOR INSTALINTION ONLY
Iilcc t ri Con t rac tor
Qtul^D L BLECTRICAL PIIIHIT APPLICATION
Ci ty Job Number
LIiTB T'EB SCIIEDULI? DBLOV
A Nev Residential-Single or
HuIti-FamiIy per duelling unit.
Servlce fncluded:
I tems Cos t
1000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
t lre reo f
Each Hanuf ,d tlome or
-Modular Dwelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
u.qI
0
Sum
B Services or Feeders
InstaIIatlon, Alterations or
Rclocatlon:
200 amps or less A201 anrps to 400 amps _
401. amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
DAdd r:
Ci ty
Supc
Exp i
Con:;
ess
rvisor Licensa
ration Date
t r cotl Number
00
00
00
00
00
00
50
60
00
30
s 40.00
$ ss.00
$ 80.00
s see lrBrr a
$
$
$1
$1
er
200 amps or less
201 amps to /r00 amps
-0ver /r01 to 600 amps _0ver 600 amps or 1000 volt
One Cl.rcui t
Eaclr Additional
Circui t or vi th Service,,
or Feeder Permit i
S3oo.
$ 40.
Eove
$ 3s.00
S 2.oo (o
c Temporary Services or Feeders
Installatlon, Alteration or Relocation
Iixp I on Date
Signature oI Supervising Elcctrician
0wners
Arldrcss
D. Branch Clrcul ts
Nev, Alteratlon or Extenslon Per Panel
Ci ty honc o(
IN
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
si
PT
E. t'liscellaneotrs (Service/feeder not included)
-Each installation
Plrmp or irrigation
Sign/Outline Ligltt ing-
Limi ted Energy/Res
Liml ted EnergY/Comtn
SUDTOTAL OP ABOVE
5f State Surcharge
, TOTAI.
s 40.00
$ 40.00
s 20.00
s 36.00
Irho
II]D I}Y:
turc:
5
1
ry
-
a
co
t 0i,
?.25 ljll'-Tll :;'rRl':lil
Sl'tUNGfIliLI)' 0ltIi(;Ot't 97 t'7'l
INSPIfCI'ION RDQUIIS'I: 726-3169
L
\3
DR
_ct3
s*,
ILECI'RICAL PBIIHIT APPLI CATION
City Job Numbe ,Eg 0o K9-
-
1. LOCATI ON OI' INST
LECAL DESCRIPTION2- p5 z7
JOB DESSRI
Pcrnrits arc non-transfcrable and explre
lf vork is no[ started vlthin 180 days
of lssuance or i t vork Is suspen<lecl for
180 days.
COHPLII'TI T'BE SCTIIIDULII DELOV
Nev Residentlal-Single or
HuItl-FamiIY Per dvelling unit.
Servl ce Incltrded :
Items Cost
1.000 sq. f t. or less
Each adtlltlonal 500
sq. ft or portlon
tlre reo f
Each Manuf 'd llome or
Modular Dwelling
Service or Feeder
s 85.00
$ 1s.00
Services or Feeders
InstaIIatlon, Alteratlons or
Rclocation:
OZo 4 ALI.iTION
Z*P A
Sum
2. CO}N'RACTON INSTALIJ\TION ONLY
IiIec t rical Con t rac Ior G-* l/**, 6*u*,
Add r:ess Po.B"r ].3-}.ol
Ci ty €(ta < oK rrrone ?
^7'5!
I g
Strpcrvi.sor License Ndnrbcr 3<ALl S
Iixpiratiort Date /o-/-?5
Con:;tr Contr. Number (-AZO2
lixpi ra t ion Da tc ?'w*ryi't:,s
Signaturc of Supcrvising Elcctrician
ovners na,ne$s>v e
Arrdress lOZo e lZuD
*r,xGfieut> Ptrone aq L-.zb1o
200 amps or less I
201 anrps to /r00 amps
-
401 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0niy
D
$ 40.00
$300.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130. 00
i Ci ty
C. Temporary Services or Feeders
Installatlon, Alteration or Relocation
200 amps or less S 40.00
201 amps to /r00 amps
-
$ 55.00
Over /r01 to 600 amps $ 80.00
Over 600 amps or 1000 volts see [Brr above
D. Dranch Clrcul ts
Nev, Alteratlon or Extenslon Per Panel
One Cl.rcuit $ 35.00
Ijaclr Acl<li t ional
Circuit or vitlr Service
or Feeder Permit 5 S 2.00 /DOVNIiN INJ;'I'ALLATION
Tlre installation is bcing made on
propcrty f ovn vhich is not intended
for sale, Iease or rent.
Ovners Slgnatrtrc:
I
:
i
I
.t
i
E l'li scellaneous ( Service/ f eeder
-Each installation
Plrmp or irrigation $
Sign/0ut1ine Lighting $
Limi ted Energy./Res $
not lncluded)
40.00
40.00
20. oo
DATE:
RDCIiIPI'
smToTAL 0r AIlovB
5f State Surcharge
TOTAI,
'(Ii(:I.:IVI:I) I}Y
'/z-?5
r-.3
eE>
fo
aa,aI
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