HomeMy WebLinkAboutPermit Electrical 2001-08-02- 'ollowing project as submitted has
not require specific
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the lollowing
'"HBtrzuc. - PERMTT APPLTcATToN
Numberz) / -ocr83Z,-O
BELOW
oFFICE: 726-3759 Date
Authorized Signature
I. LOCATION OF INSTALLATIONabo l/. tbw
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JOB DESCRIPTION
_{\!D a-rrouits-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACTOR TION ONLY
Electrical i0
A. New Residential-Single or
Multi-Family per dwelling unit.
Service lncluded:
1000 sq.ft. or less
Each additional500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
t'B" above
Branch Circuits
New, Alteration or Extension Per Panel
OD
Items Cost Sum
$ 19.00
$ 50.00
$ 63.00
$ 75.00
$ 12s.00
$163.00
$375.00
$ 50.00
s50.00
$69.00
s100.00
Address
a,-cityh;)A$-(-Phona!,?)e?J
0
Supervisor License Number
Expiration Date
constr contr. Number 1l e* >
Expiration Date
Signature of Supervising Electician
Name C(P
city--fu@A pnon" K: - €iO KD Each Additional circuit orwith serviceOWNERINSTALLATION orFeederPermit 1 $3.00 zub
Address leo<>
The installation is being made on
properry I own which is not intended
for sale, lease or rent.
Owners Signature:
0., u*o ) ,'
-L$43.00 fiPoOne Circuit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S50.00
Sign/Outline Lightins $50.00
Limited Energy/Res _I0n0C
Limited Energy/Comm $45.00
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5. SUBTOTALOFABOVE
7% State Surcharge
8% Administrative Fee
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TOTAL
2_
$106.00