HomeMy WebLinkAboutPermit Electrical 1993-02-03II
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Permits are non-transfera
i;-;;;t is not started vi
oi lt=r."ce or if vork is
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ble and exPire
thin 180 daYs
susPended for
180 daYs.
2. COI{ITRACTOR INSTALI'ATION ONLY
Electrical Contractor
Address /a.4.o t(/
city tdo-l'fqu|/ l,Phone .-z
Supervisor Licen:e Number <37(,
g""h "tiattional
500
;q' ft-or Portion
thereot
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
instattation' Alterations
L.fJ'** or Relocation :
200 amPs or ]ess -J-201 amps to 400 amPs .-
401 amPs to 600 amps -.-
601 arnPs to 1000 ?mPS.-
over Lb00 amPs/volts ---
Reconnect 0n1Y
ems
$ 1s.oo
$ 40.00
Jr/
$ so.oo
$ 60.00
$100.00
$130. oo
$300. o0
$ 40.00
u/
Sel
.00
.00
.00
s see lrBrr a6ove
Expiration Date
Constr Contr. Number
Expiration Date Z-r1*7E
Signa of Supervising Blectrician
y'-'z /
Ovners Name
. /,9
TemporarY Services or Feeders -ilIlii;iion, ert"ration or Relocation
200 amps or less
;oi ;;; io too amPs --
0ver 401 to 600 amps
-
0ver 600 amPs or 1000 volt
Branch Circuits
o'-cti/
40
55
80
$
$
$
D.
Address 7?2 Z r:" fo
Nev, Alteration or Extension Per Pane1
One Circuit
n."r.r-eaJi i i onal
Circuit or vith Service
or Feeder Permit
-E Miseellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Light itg-
Limited EnergY/Res
-
Limited EnergY/Comm
Ci tY Phone
$ 3s.00
$ 2.00
OIINER INSTALI.ATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'
Osners Signature:
40. 00
40. 00
20.00
36.00
$
s
$
$
bb?f,,-Sru
do
DATB:
RBCBIVED
Z-3 -7s,
7
5. SWTOTAL O? ABOW
5Z State Surcharge .
TOTAL
A.
i
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