HomeMy WebLinkAboutPermit Electrical 1997-12-3
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1.. LO,CATIQN\ OF INSTALurr'W~ ......1
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C: ~D1~~~ OOSl ( ..
~\V ~~TI~ ~.
::itS a'l': no:-~rsl:~~ble an~^:~~e
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
D~~E~-----l~:)~-C{~----~-----------
RECEIPT #: iJ vi c...... ~)
nl:r;;onrr.n nY' v- J\:5 (~J -
.
City Job Number
3. COMPLETE FEE SCHEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less 5 85.00
Each additional 500
sq. ft or port ion
thereof $ 15.00
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder $ 40.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
fI\1 Jf; Installation, Alterations
Electrical Contractor H\\PXl f1.1.1l.-. or Relocation:
f'l ~ I/h
AddressV\()7 .D_~1\D-f VY\Uf\l, ~})~C,f'o'220001 amps or less $ 50.00
~ L':: ~_D "1'~ ~-' amps to 400 amps $ 60.00
Citq,..rLlltfY,,/}r...\- Plione - ~/. 401 amps to. 600 amps 5100.00
a VTI. 7'"~t9.1 amps to 1000 amps 5130.00
Supervisor License Number ~ ~~Du,O~{AOOO amps/volts '5300.00
(),~ '6'0 V~D ~..,~fi'..r~ Only 5 40.00
Expiration Date I'D-I --I D-"fr 0-9 ---r:7?rl-tl. '[:$
, ( 0 ~ lp~or~tO.k S~~ or Feeders
Constr Contr. Number '-t 1Z-3 tl I9lq~ns\:'?~'t~~ ation or Relocation
\ C . ~~D 181ll
Expiration Date LI t1 ~ 200 amps"of"Cl!\!:sPr $ 40.00
~ . 201 amps to LiOO amps 5 55.00
Signa ~ oM' S~Vi ectrician Over 401 to 600 amps $ 80.00
X 15 0 dJ - Over 600 amps Ol- 1000 vol ts see "B" above
A.l1':"" -
~ _ 1\ 'f\(/ D. Branch Circuits
Ovners Nam- ,0 'N'\ l J\..
50 1 -t\-.::L. Nev, Alteration or Extension Per Panel
Address O. ....", Am l.J\-\-
City~~ Phone
OIlNER IhsTALLATION
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.'
$ 35.00
$
2.00
not included)
'V
J
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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