HomeMy WebLinkAboutPermit Electrical 1993-12-215 t.t I tt{ c:l: I l: Ll,
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?.25 I]IF'TII STRI.:HT
sPruNGrI[LI), olt[:GoN 97
INSPIICTI0N REQUIIST: 7
OFPICE: 72-6-3751)
TION OI' INST
Date t>-)f-3
e +4,
D
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0Il T'rION
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Pernrits are non-transferable and explre
if vork is not started vlthin 180 days
of issuance or if vork ls susrren<led for
180 days.
2. CO}NTACTOR INSTALINTION ONLY
::^:?,@a F6 f;?",,"#l#crRrc^L P,RH
require specific lanC u,,o City Job Numbe Q:I ?t3
IT APPLICATION
r
COHPLIITII PBB SCIIEDULB DBLOU
A Nev Residential-Single or
Hu t am ily per duelling unit.
Service fncluded:Items Cost
1.000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
tlrereo f
Each Manuf 'd llome or
Hoclular Dvelling
Service or Feeder
$ 85.00
$ 1s.00
$ rr0. 00
D. Services or Feeders
Installatlon, Alteratlons or
Reloca t lon:
c
200 amps or less I
201 amps to /r00 amps _
Over 401 to 600 amps _0ver 600 amps or 1000 volt
5s.00
80.00
L3 1.
€
Sum
ee rrBtr aE6E
P*^L-,IiIcc trical Cont rac tor
Add r:ess s:D
Ci ty F"lfG- ,r',- C-t^riq(
Supc rvisor License Ndnrber 3q SLs
lixpiration Date 9s-
constr contr. Number 6S f t f
{tt 68 UJ,n I 200 amps or less I
201. anrps to 400 amps -I401 amps to 600 amps _
601. amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installatlon, Alteratlon or Relocation
40.00 4 o
50
60
100
300
/r0
130
$
$
$
$
$
s
.00
.00
.00
.00
.00
.00
Ex
si
piration Date q.$
$
$ssranture of Supc
e rs Narne e.vL
A<ld rcss
Ci ty C I'honc
OVNEN INSTALLATION
The installarion is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
D. Branch Clrcul ts
bS ,n Stf'h
Neu, Alteratlon or Extension Per Panel
One Ci rcui t
Eaclr Addi t ional
$ 35.00
Circui t or vi th Servicefl
or Feeder permit cl $ 2.00
qn&
E. l'tiscellaneous (Service/feeder not included)
-Each installation
Ptrmp or irrigation
sign/ou tline Ligtr tingl
t imited Energy/Res l
SIBT0TAL 0P ADOVE I t
5f, State Surcharge
TOTAI, i
40
40
20
36
$
$
s
s
00
00
00
00
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DATE:
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