HomeMy WebLinkAboutPermit Electrical 1998-07-27to SPHIhIGFIELD
ON
Electrical Contractor
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fiis PERM\I \SNOT
APPLICATION
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1 LOCATTON OP
Perrnits are Don_[ssnsferable and expire:l y::1. is not s-tarted "i;[ir-i;o daysor rssuance or j f r.,ork t; -;;;p;;ded
for180 days.
2. COI,ITRACTOR TNSTALLATTON ONLY
COHPLETE PEE SCEEDTILE BETOTT
Nev Residential-Singt" o,
lllJl;["ff ll,ffi., a,Eiii,s uni t.
ftems Cost
1000 sq.ft. or 1ess ( ce."r,.jjiiioi.r-s=66 $ 8s.00
sq. ft or portionthereof
Each Manufrd Home. or
-
$ 15.00
Modular DvelIingService or FeedEr $ 40.00
Servi-ces or Feederslnstallation, Alterationsor Relocation:
oo
Sum
B
Address 3q /a
Phone L
Supervisor License Number C 7*-.s
Expiration Date /O =,l'- E'I
Constr Contr. Number t
Ci ty
0
Expirarion Dare I _.?',
5
Signature of Supervising Electri
200 amps or less I
fx* irp" to 400 amps #
fii :tii"r:f33,"rfi;":over 1000 amps/volKeconnect Only
-
One Circui tEachAdditiona]-
Ci rcui t or vi for r.eJei-p;ill, tu',,3
MisceLlaneous (:_E;; ^iil;;ii" l,';;vi cel f eed
:Ymp or irrigation
iif,i (3x,i;:;*iifllj' n*-
lrmr ted Energy/Comm
-
$ s0.00
s 60.00
$100.0o
$130. oo
$300.00
$ 40.00
tu
.--
oI
c Temporary Servicrns ialiai t ;; ; ";i;:.1i, L""ji'i"loca t i on
^g
cian ;3i :#f: :; }ffi""-^ * $ 4o.oo
#ffjij jto:T.Titu; iF;ifl "-Branch Circui ts
t-
0vners Name +
,"d
Phone
Address
Ci ry
{J Nev, AJ.teration or Extension per panel
?s
$
er
OVNER TNSTALLATTON
The installation
proper ry r ;;; -;niin oi:,f"l"ff
,!lo.otor sale, fease or rent.
0mers Signature:
E
3s'oo -.--
2. oo u ,oo
not included)
40.00
40 " 00 ------:-
20.00
$
$
s
$
5ITE:SUBTOTAL OF ABOVE
;i. i#f;,:il:f$5i""
225 FIFTE
TNSPECTION
,
OFFICE:726-3759
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