HomeMy WebLinkAboutPermit Electrical 1993-04-222.25 I:II''TII STRI|IIT
sPTUNGFII':Ll), oltl':Gol't 97 471
INSPIICI'ION RDQUIIST | 7?.6-3'169
oFPICF.: 7?.6-3751)
SLIJTL
U:"""" Ntinruer \LI8bs
1.OI' INST
ON D
Pernrits are non-transferable and explre
if vork is not started vlthin 180 days
of issuance or if vork ls suspentlecl for
180 days.
2. CO}n?,ACTON INSTALTNTION ONLY
tilcctric I Contr
Add r:cs
3. COHPLITTII t'EE SCIIEDULE BIILOV
A Nev Residentlal-Single or
HuItl-FamiIy per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
tlrereof
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
R. Services or Feeders
c
.-;t.altNL:l:lr:Lu
ILECTRICAL P
Ci ty Job Num
Over 401 to 600 amps
0ver 600 amps or 100
200 amps or less $ 50.00
201 anrps to 400 amps $ 60.00
401 amps to 600 amps $100.00
Over 1000 amps/volts
-
$300.00
Reconnec t 0nly 1+ $ 40.00
Temporary Services or Feeders
Installatlon, Alteratlon or Relocatlon
Otu
vg?-ERHIT APPLICATION
ber q%D s{+4P"11\ _W
L
Sum
o",,, L* S €.k,(Tu,c, il:i::lti:l:"' Arteratlons or
Ci ty l'hone
--\
Supe rv i sor
Expi ra t ion Da te \D \q5
Constr Corrtr. Number
Iixpi ra t ion Da te
Signaturc of Supcrvising [Icctrician
200 amps or less
20L amps to /r00 amps _
BO
07[s see rrBrr a[ove
D. Dranch Clrcuits
Nev, Alteratlon or Extenslon Per Panel
onecircuir j $35.00
Each Addi t ional
Circuit or vith Service
or Feeder Permit / S 2.00
E. l'liscellaneotrs (Servlce/feeder not incltrded)
-Eaclt installation
Plrmp or i rriga t ion
Sign/OutIlne Lighting-
Limi ted Energy/Res
SUDTOTAL OP ABOVB
5Z State Surcharge
TOTAI,
$
$
$
40.
55
00
00
00
.00
.00
.00
.00
.1 V-_a
€-.
Ovners Name
A<ld rcs
Ci ty Phonc
I;TALLATION
The installation is being made on
property I ovn vhich is not interrded
for saIe, Iease or rent.
Ovners Signatttre:
s40
s40
s20
s36
oirn:
RNCEI PT
Rti(:r.:Ivl.:l) llY
5 w,
q
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