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HomeMy WebLinkAboutPermit Electrical 2004-4-21 (~', ~', r~~~~::G~~i~&~S~!~7 V.:j fi f;G [~'\ E~E~!~ALPER0J!APPL1C~'l;t<?~" . 't':.'''' 11J~SP'EciIO* R~Q~ST:726~3i6i'; i':] ;. , f"::~:ii:~Oh ~u~'hel; 62--9 b;bi'7":'~.} .', . 'J.:., II OFFJ'.CE'. 726-3759.'..1" I, i! !"".. .1.. I...' ;,1 Ii.! f; i:' '. "., ,\ ',j __..;~i ~,-., . 'I I' I ".,. ! '\' " ,,, ,;~. .-:<'''' I;; i., (,,,( f- -,-, Ie 1;-' ; ,'.1 I e.\.. . I "." \, '. '., ."1' ,.. '3...A..,c. 0, Mr..LET, E FE.E. SC. HE,..DULE '" "~ -, I :. ":\ t' " I"" t',_!" ~~' "\ ,\ .. 1 "" , "" ',,," , \t ~.') rjL d)C'\'f~?,N;9F!NfiTAt~;YfI!)N h I. 'Ii! <..Y lv"/." .~. '..' 'Zc06 t:AA~1.A l2dJ)" - A":'Ne\v"R~'idcntiiil'single '703. 2-523 00 toe \0110....'" Multi.Family per dwelling unit. LEGAL DESCRIPTION 6",...\\:,,6 ,,>.. Scnicc Included: "'l.BE.I!:1'So~ S-rt>u. <SIO .,,~,~. eC'\\C J' .9 . eC\ 'Os. ~Q.\).\1e Q., JOB DESCRIPTION . ~9,01 ,,01' (\. sqJt. or less ~,(\'=' n..oe~ V _ w,>oJ "oLTI\kE../~iJaQtz:.Al1bl\l ,. Ea ditional500 . \' '(\IJ' \ ft rt ~~ t.o('\\ 10"'3-" <:\\(\~ sq. or po ion Permils arc n9n.transferaill~ and e1t~lle thereof if work is not'staned within 180 da' \,,>,0 Each Manui'd Home or l ~~g:~~~~ce :brKwork:s sus~~~~(&~" s,co"" ~~~:~~r ~;~~~~~ ,;. {i~:r~\,2,_:,~~ $ 50.00 2. CONTl}f'~TOR \N,ST ALLA TION ONLY B. Services or Feeders F'; ;. ""5',; ,'\, .l "H l'~:, Installation, Alterations,or.".:, ,~:;;>.~ '<;,f\ <,,' , Electrica1"SoD~<actO! ~ c.A~tol''7 S,U.\I\c.c. Relocation: j.) ~ ';;'~:.'~,:.".\t-<;"~:;z;,':~'~':~;. :,~'_,:./i Address fi;~~~ ,).;; ~~E5~ . /~\~,;, 200 amps or lei;" <,! f;\Jf~. :~~~~1i:6'J\l"):~~~ \. 'I i. ..,\ /,,; \",.. 201 amps to 400 aIllps:' . ., ":;";'$'75.66 '..;; City aoka..\, \L:,p!lOnC {~K''j3'1~:-m'1''& ,\;'c 4600']1 amps t~6]' ooOo'oa~\p~ ;, ':$$'1]26')3.'.0000" .{.,'.! '. f ."'\ ,; ".' ./' ".' ", ". ':,. . ampglo, amps ''::'':':'-'' ''-'--c-'' Supervis9rLicenseNunlber 31'-1"\1-C.t:C,:, ',.;;",6ver,,\0~Oamps/voltS, ~$375.00 ",.':i ." ~.," ..~q J ~ ',.-':, '" ' ':> :,' Rf?c01111ectO~11)T< ,~:.\- '$',~50.00~~ <~::'f) Expir~tibnDc{tle"7'l:'O/el;ID2. ,/. '. _,'-':'f"f v' -"C ';;'; IJt;.~,J' ,,'.! ';, ".; ,'" " (t:. ....'.: .:::. . .', .,,' CooTeml)9rarYSe.nices'orF~e~e.rs~':;:~ti1'\'.'\\,' '. . ; ;;;;,; 'Cor;slr_~ontr. Number.3'1.,.14l'':': UE.;" ," Irstallalion, AlteEtijonfli~~!9c~itiOB~tttl1~. " , r: .~.,~ -''''-'.'''-:-.lbYi' '/'''.., \', .. . ',J,I. - ''''',.'0'1 ,\\e"'''~' _""'';\)'\ . .' -,' or' ,,'. ".,-" " , \ ' , " > ...-, ",f"~ ~ ....A()r,\,,.;.,,,,- ~ ,.\tlv"-''''' \-..,f i \ i" ')"" "'-Expiration Date 01'0'2-.',.. '.: , j!\! "200'amps'or less' 1;,,,,01"" ",,\~""$50.00 ',' ~">,::..,,.;.r :..,.... . -"'___~::' ',~ ltl\\v'20r;;fpS\f<}'400'taD'i''p 'A"ill\"lX\13 .:,,(\~ $69.00 ~, ( ", ,,, \-: '" '.' .x ,", -"","""-. ,.""",(.0" "~.",,. -f?,9\"'" .",\<.>r 'Q" ;-- ,..,.!'..... ",.:". . SignatUl'c of Supcnising Electrician ..\o'\\,,04'er,4m'\IQ 600 amps .",.~e.," ..,;",,\\ $]00.00 ' (i":t'. "; :,:. '~">"''''>lJJ~' \~~:.t~:~i~~,~~~lr.~~~~'~;:~:' . ". ,::',. ,~ " " : ' ca.~\lI'''n~,\ne n<\O-, \ : " Af"" . ~.~' '. " , ,-r.I-IQ , tellS .. " D. Branch CircuitS' J ;. c'. Owners, ,~~e AU~.ct2:f';I>..Js.. Nc\~ tlier?tjon or: E~tensioIl pC::~;6~V. ::.,..,,,........ ' . .,,' .' , On'~' C! ,'rcu','t' ':--'C~pl"C ,e~~ Ie:. ~l'\.'(:'.00'_ , . Address iz..coO:,'MA.rU.btA, ..l2t>'~ . (.,,<\"~ \< ,,,\\~'$1I" \" l "". Cit~: $~~~~,~ Ph~.ncL~~-'i!io ~O,,\~~\M~\}t.~~~~~~~~~' . \'\1 ~(":.. '. . \~\'b&~~i\s ~'O ~ $ }.OO ,'9 . . OWNERiJliSTAiXATION.. t-~\~ c'~C'i:.'V ncl=\.\Q'i),. ,", ~ :,,:.' .' The installation is being madeon '. E. l'Ci$~'rt ol'\~l1t"i\,cTfccdcr not includ~d) ",' . " ,: "property ]'b~vn which is. not intended:' "'lE\J'O il{staIlatlOn.. : \',; ; '. ""for sale, leas, of rent..' ' , . t>\'''Pump or irngatlOn, ---.: $50.00_ . , . .... ' ,~' SignfOlitline Lighting '$50~OO I",' Oh'llcl:S Sig~:itu..c-:" ,:'; , LtmitedEllerh'ylR'es _ _ $25.09 _' " ': Liinitcd EnergY/COl~'ni" + $4500~ i/~? fAhll.. f'-~-" \,~.t~ f':i';""l , \ ,'" j"', , , ...',-. . t~,;~.~~' ; t~ ~ . :'~ , . .' l': l:~ " r~f:;j I"'",'.: ". .~, ,) )' ',< , ',' \,~,\, L- " I'". i,,>,:." Items Cost SUI)l';' $106.00 -, ~,. ;,:c::.e" i " , $ ]9.00 ...'- ) '. .'.' 190 : ~3IHSI;i8 " : 39NI;iH:J . . SCTS $G:a83~HI\1' ;;00& 0;; Nnr:311;iO " " 9996boo~TO: #SN\j~l ' , &1;1: . :",~o.t ~y,'/,\&M ' I\linirril~-~l. El~Ctric Pe~mit Inspection Fcc is 545..00 + Surcha'i"gcs . . y, . ,. '3. I", ~!<E. 4.. SUBTOTAL OF ABOVE 70/0 S'tatc'Surc.harge . 8% Administrative Fcc TOTAL ~ -51 15' _ ,.,. ,'_.~'~_'." ,'- t'