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HomeMy WebLinkAboutPermit Electrical 1998-08-075PP'- "iFtELO ,% (J60 225 FIFTE STREETIIU'q 0FPICE: 726-3759 1 ,rtt 6-37 LATI ELECTRICAL PERHIT CA TION iisilslSP*3ffi$$H# t DE PT Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or i f r.rork is suspended f or 1.80 days. 2. COMRACTOR INSTALT,ATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number -S by the ob Nurber l-000 sq.ft. or less Each additional 500 sq. ft or portion t hereo f Each Manuf'd Home. or Modular Dvelling SerVice or Feeder CEEDTILE BELOII 1-Single or per dvelling uni t. uded: I tems Cos t s 8s.00 tg qq0 D@ Sum Expi.ration Date Cons t r contr. Number 2O'\LC Exp irarion o"r" lO -, -9E Signa ture of Supervising Electrician 0vners Name Addr S Ci Phone ALLATION The ins talla t ion is being rnade on property I ovn vhich is not intended for saIe, lease or rent. 0wners Signature: DATE: PT s 15.00 s 40.00 Services or Feeders tallation, Alterations Relocation: or Less to 400 amps _to 600 amps _to 1000 amps_ amps/voIts - nly ices or Feeders ta'tion or Relocation amps'$ 40.00 amps t $ ss.00 r 40L to 600 amPs s 80.00 r 600 amps or 1000,-fio-fis see "B" aEove Branch Circuits Nev, Alteration or Extension Per Panel OneCircuit / S35.OO Each Additional Circuit or vith Servicq or Feeder Permit C{ $ 2'00 35.a go SUBTOTAL OF ABOVE 5Z State Surcharge 32 Admini.strative Fee TOTAL Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40'00 Liilited Energy/Res - S 20.00 ps ps Ps am am s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 qL o C Tem Ins 200 207 0ve 0ve D E 5 RECEIVED BY: tr) nd OF (tfi?ne lo - l-g