HomeMy WebLinkAboutPermit Electrical 1999-09-21ctT
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i)2te
1..LOCA'I'ION OF INST
Ln(:At, l)lls(ll( tP'rI0N
G
Signa t ure Superv is
Uwne r s
Add ress
Nattr
The tollorrringr oroieci as suiimitted has the lollowing
'u floes not re qurre sPecific land use
Zonlng il'
A,bhlrL,LDt?6 '.V&\fic
rgnatute
A
ri Flili s(;llF,DUt.[] Blll,0v
Nev Residerrtial-Single or
Multi-Fanrily per dwelling unit
Ser vice lrrcluded:
I tems
fit,EgrRI
City Jo
CAL I'BRHI
b Number
,T APPLICA'TION
?q/
o )-c)Cos t
$ 8s.00
s 1s.00
$ 4C.00
$ so.o0
$ 60.00
$ 100. oo
$130.00
s300.00
s 40.00
Sum
5o o9
l'ernri ts are ttort-trat.rsferab.le antl expire
i f vorlt is rro t s tar ted wi thin L80 days
of issuattce or if vork is suspended for
180 days.
NOTICE:
*ir'uEs'msmilElFi'#Hf,l3ildHf I B
AlEqoR lzEO L,hrDER TH ls,ppffiffi{sffi p0 r qP' o \
JOI} DE ON
ANY 1 PEHIOD
t'ltone (flo -og 05Ci ty
Supervisor License Number lSLB 5
1000 sq.ft. or less
Each addi tiortal 500
sq. ft or Portion
t hereo f
Each Manuf 'cl [lolne or
Modular Dwelling
Service or Feeder
Services or Feeders
Irrstallation, Alteratiorrs
or Re"Loc.a t i otr t
200 arnp.s or le.ss -X-201 arrrps to /r00 allll)s
/r01- anrps to 600 anrps _-
601 arnps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0n1Y
Expi ra t ir.ltr Da te o
Constr Cotttr Nurrrber 5Ll'*31
Expi ra t iorr [Ja te 00
Temporary Services or Feeders
lnsiallaiion, Alteratiott or Relocation
200 anrps or less
201 arnps to 400 amPs l-0ver 401 to 600 atnPs
0ver 600 amps or 1000 volTs
Branch Circuits
Nev, Alteratiotl or Extension Per Panel
One Ci rcui t $
Each Additional
Circuit or vith service
or Feeder Permit lO $
t)
C
Elec trician
$
$
s
s
40.00
55.00
80.00
Ci ty Photte
ee frB'r aEoie
35.00
2,oo aogOTINER INS'I'ALLATION
The irrstallation is beirrg made on
property I ourr wtlich is not intended
for saIe, Iease or rellt'
Owners Sigtta ture:
B. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
--Sign/0utline Lighting-
Lirni ted Energy/Res _
Limi ted Energy/Comm
'l o*--4,qd,
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5 . SUBTOTAL OF ABOVE
7 N% state Surcharge' 3Z Admilristrative Fee
TOTAL
DAIE:
RECEI
-2/'
RECBIVBD I}Y:
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