HomeMy WebLinkAboutPermit Electrical 1998-7-14
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
1\ J Installation, Alterations
Electrical contract;f.ftA-~ fTl'l/rh(a or Relocation:
Address' / JJ. (}f(;vl/lrJ (, ::- ;J' 200 amps or less
r 0:.#1 /1'1/7 201 amps to 400 amps
City L~ Phone~ lJ~{!(JJJ 401 amI's to 600 amps
, , 601 amps to 1000 amps
Supervisor L cense Number <((~~h~~lt' Over 1000 amps/volts
~ Reconnect Only
Expiration Date / U/ /
-> '101] OJ C. Temporary Services or Feeders
Cons tr Con tr. Number vI ,). Ins talla tion, Al tera tion' or Reloca tion
1 (J/{j f
The following project as llUbmIIIlld halllhe toUowlng
,c. .;n~, and does,not requlrv llpeollIc landuao
5;:::proval.
ZonIllQ c...u
Dele~'
Expiration Date
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
Sign~~Ur~?iSi~~
Ollners Name } vruaf:; ))V^ /I
Address 7J 1m My,; ('}-,
Ci ty -$p~hone 1 </,-115;1
OIINER INSTALLATION .
D.
Branch Circui ts
Sum
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00 '
$ 80.00
see "Bll above
.'
Nell, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or Ilith Service
or Feeder Permit
The installation is being made on
property I olln Ilhich is not intended
for sale, lease or rent.
E.
Owners Signature:
~AiE~-------~7J-~-tr~-----~----------
RECEIPT 11: . / ),50 l.ldCl
RECEIVED BY: '1\ .fn~
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00 .:5f.s.(lO
~ l'~~1