HomeMy WebLinkAboutPermit Electrical 2000-02-04:lt}il3HBfl*3ffi331'ltl'-rxq zeci s'sna'iure
OFFICE: 726-3759
225 FIFTE STREET
1. LOCATION OP INST ON
LEGAL DESCRIPTI
The following proiect as submitled has the
zontng. and does not require specific bnd use
apProval LD (u
Zoning
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Date .l(rr)
sP,.- JEF|ELD
AI,IT :2 * 45.7A
IHAI.{EE:
tAEHiER:001
PERUIT APPLICATION
city Job N*b". OD - Dg/?h'2/
3. COT{PI,ETB FEE SCEEDT'I.E BELOS
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:
I tems Cos t
$ 8s.001000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home' or
Modular Dvelling
Service or Feeder
$ 1s.00
s 40.00
B.
s300.
s 40.
c
Sumi
Permits are non-transferable and expire
if vork is not started vithin 180 days
of li"u"nce or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI',ATION ONLY
JOB
Electrical Contractor o,tNl?
Address \
citv S/RtxG f it<i,0 Phone
Supervisor License Number
7 >['loz o
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address
Ovners ture:
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amPS
-
401 amPs to 600 amPS
-
601 amps to 1000 ?mPs-
Over 1000 amPs/voIts
-
Reconnect 0n1Y
TemporarY Services or Feeders -ir,"i"ff"ilon, Alteration or Relocation
200 amPs''or less
201 amps to 400 amPs .-
Over 401 to 600 amP!
-
Over 600 amPs or 1000 volts
Branch Circuits
Nev, Alteration or Extension Per Panel
One circuit -l- $ 35'00 3s'oo
Each Additionalti;";ii-o'^"L:l Service r.oo _fu,or Feeder Permit 9 $ '
Hiscellaneous (Service/feeder not included)
-lach installation
Pump or irrigation
-
itni zoutrine Lighting-
t-iili ted EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
ri ea*inistrative Fee
TOTAL
00
00
00
00
00
00
$ s0.
$ 60.
$100.
$130.
a5ovil
s 40.00
$ ss.00
$ 80.00
see llBrl
D
c:,ry W- ?H7? Pno""726-/07
OVNER INSTALLATION
The installation is being made-on
DroDerty I ovn "f''i"f't is iot intended
iLt'turl, lease or rent'
E
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5
DATE:
BRBCEIVED
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